This case also shows how important the follow-up period is. Whenever supernumerary teeth are diagnosed, single or multiple, a decision regarding appropriate management should be carefully selleck chemicals considered. Surgical removal of the teeth may cause damage to adjacent structures12. Spontaneous eruption following supernumerary removal is suggested to be in the range of 54�C75%.20 DiBiase21 has suggested that most teeth experiencing delayed eruption will spontaneously erupt within 18 months of supernumerary removal alone, provided the delayed tooth is not excessively displaced. Timing of surgical removal of supernumerary teeth has also been contentious. Hogstrum and Andersson22 have suggested that 2 alternatives exist. The first option involves removal of the supernumerary as soon as it has been diagnosed.

This could create dental phobia problems for a young child and has been reported to cause devitalization or deformation of adjacent teeth. Secondly, the supernumerary tooth could be retained until root development of the adjacent teeth is complete. The potential disadvantages associated with this deferred surgical plan include loss of eruptive force of adjacent teeth, loss of space and crowding of the affected arch, and possible midline shifts. Obviously, the position, size, and nature of the supernumerary tooth and the level of co-operation of the patient will influence the surgical difficulty; hence, each case should be individually assessed. In our opinion, it is important to initiate appropriate consultation and an interdisciplinary approach for treatment.

CONCLUSION In this paper we report a case of nonsyndromic bilateral supernumerary teeth. Additionaly; we emphasized that in cases of supernumerary teeth the follow-up period and interdisciplinary approach are very important for treatment.
The importance of esthetic in dentistry is well known.1 It has been reported, for example, that esthetic dental restorative treatment can improve a patient��s self-esteem.2 Initial shade matching of an uncured composite resin material to its adjacent tooth is an important clinical practice in esthetic restorative procedures, and once an appropriate match is obtained, the color match should be maintained after polymerization. However, optical properties of dental composite resins change as a result of polymerization, and the extent of change is influenced by the characteristics of the material and wavelength.

3,4 Lighter or less chromatic shades tend to show higher color changes than more chromatic or darker shades.5 To compensate this color change, an initial color choice that is more yellow Brefeldin_A or more chromatic than the needed final color has been suggested in clinical applications.6 The most extensively used light source for photoactivating a composite resin material is quartz tungsten halogen (QTH) lights.7 The QTH with higher light intensities (HQTH) were introduced in dentistry.