Multiple Over-retained Deciduous Teeth: A Rare Case Report

Abstract

Over-retained deciduous teeth, characterised by the persistence of primary teeth beyond their expected exfoliation time, present a unique challenge in dental practice. The present case report documents a unique and intriguing clinical scenario involving a 20- year-old female patient undergoing orthodontic treatment for multiple over-retained deciduous teeth. While such occurrences are relatively uncommon in adult patients, the present case underscores the importance of early orthodontic intervention and vigilant monitoring of dental development. The patient presented with nine retained deciduous teeth in the mandibular arch. These retained primary teeth had persisted beyond the expected age, and their presence was causing malocclusion and aesthetic concerns. Treatment planning involved a multidisciplinary approach. Orthodontic goals focused on aligning the permanent dentition while addressing the retained deciduous teeth. Comprehensive orthodontic therapy was initiated with fixed appliances. The present report highlights the importance of early diagnosis and timely intervention to mitigate potential complications associated with overretained primary teeth in adult patients. The article discusses and focuses on the aetiology of why this type of occurrence can take place, various factors associated with it, the prevalence, and reports a rare type of case.