COMPLICATION OF THE EXTRACTION OF MAXILLARY ANTERIOR SUPERNUMERARY TEET:THE ACCIDENTAL EXTRACTION OF THE PERMANENT TOOTH BUD

Background. This article aims to report the case of a seven-year-old girl affected by a numerical dental anomaly. Supernumerary teeth can lead to secondary dental eruption disturbance dental crowding and bone cysts formation. Even though the clinical and instrumental documentation was adequate to make a correct diagnosis and a surgical-orthodontic treatment plan, a technical error during the surgical phase can lead to the extraction of the permanent bud instead of the supernumerary tooth. The presented case highlights the 2-year follow-up of the immediate reimplantation of the avulsed tooth after the attempt to extract the supernumerary bud and provides the clinician with the most precise awareness and knowledge of possible medico-legal implications regarding surgery at the wrong site. Materials and Methods. During the extraction attempt, the clinician mistakenly extracted the wrong dental element, the bud of the permanent 1.1, and proceeded to reimplant it. After 11 months, a second dentist extracted the correct supernumerary tooth. The case defines guidelines applicable in outpatient clinical practice to manage complications in the best possible way. Results and conclusion. The therapy of supernumerary teeth is extraction. Further work is needed to monitor why a wrong tooth extraction occurs and how it can be prevented; this will be possible by reporting incidents, analyzing the root causes, and clearly and thoroughly educating the clinician on his medico-legal responsibilities.