The presence of extra teeth—more than 20 baby teeth or 32 adult teeth—is a rare condition called hyperdontia. Sometimes this condition doesn’t cause any issues, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other cases, hyperdontia creates crowding, a bad bite and gum disease. That’s when we recommend treatment.

What kind of treatment is needed?

The treatment depends on the individual, but we can usually resolve the problem with tooth extraction and orthodontic treatment. Some people are concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is completely safe and relatively painless.

Teeth aren’t set firmly in the jawbone like posts in cement—they are held in place by a fibrous membrane called the periodontal ligament. With the careful guidance of the tooth, we can dislodge these fibres, and easily extract the tooth.

Of course, you won’t feel this because of anaesthesia (often via a numbing shot). You may also take a mild sedative or anti-anxiety medication to help you relax during the procedure.

After the extraction, we may place some bone grafting material in the tooth socket, and gauze may be applied to control bleeding. You may also need stitches. You’ll receive directions on medication and care before you go home. You will probably feel pain in the area right after the procedure, but in a week or so, the healing process will be underway.

Dental problems like hyperdontia sometimes need immediate treatment because they can affect your overall health, but that is not always the case. The decision to change your smile is up to you. After an examination, we can help you decide what treatment options are suitable for you.