A realistic 3D-rendered image showing a small conical mesiodens located between two upper central incisors, with gum tissue fully covering the roots.
Clinically accurate 3D-rendered image of a mesiodens between the maxillary central incisors, with gingiva fully covering all roots.

Supernumerary Tooth Extraction

Expert Surgical Care for Extra Teeth Done Safely and Comfortably

The presence of an extra tooth in the mouth may seem unusual, but it’s more common than most people think. Known as a supernumerary tooth, this condition can affect both children and adults and may cause complications if not managed properly. At Affinity Dental Clinics, we specialize in the safe and effective removal of extra teeth through Supernumerary Tooth Extraction, one of our core Oral Surgery services.

With a team of formally trained and experienced Oral Surgeons, Affinity Dental offers world-class surgical care using modern technology and a patient-centered approach. Whether your case is simple or complex, our goal is to help you restore balance, comfort, and function to your smile—safely and with minimal discomfort.

What Is a Supernumerary Tooth?

A supernumerary tooth is an extra tooth that develops in addition to the normal number of teeth. While the average adult has 32 permanent teeth and children have 20 primary teeth, people with this condition may have one or more additional teeth in various locations of the mouth.

Common types include:

Mesiodens – extra tooth between the two upper front teeth (most common type)
Distomolar – extra tooth behind the third molars (wisdom teeth)
Paramolar – extra tooth beside a molar
Supplemental teeth – resemble normal teeth and erupt in line with the arch
Conical, tuberculate, or odontoma types – vary in shape and position

These teeth may remain impacted (hidden in the bone or gum) or erupt into the oral cavity, sometimes causing crowding, impaction of normal teeth, or interference with dental alignment.

When Is Supernumerary Tooth Extraction Necessary?

While not all extra teeth require removal, Supernumerary Tooth Extraction is recommended when the extra tooth:

Causes crowding – or shifts other teeth out of alignment
Prevents normal teeth from erupting properly
Interferes with orthodontic treatment
Causes pain, swelling, or infection
Forms a cyst or lesion within the bone
Is impacted or growing at an abnormal angle
Creates esthetic or speech issues

Early diagnosis and timely removal are key to avoiding future complications—especially in growing children or patients undergoing orthodontic treatment.

What Happens During Supernumerary Tooth Extraction?

Here’s what sets us apart at Affinity Dental Clinics. We combine expertise, advanced technology, and patient-focused care to ensure safe and effective supernumerary tooth extraction.

🦷 Expert Oral Surgeons

All extractions are performed by formally trained Oral Surgeons with years of surgical experience. Whether the supernumerary tooth is visible, impacted, or surgically challenging, our team is equipped to perform the procedure efficiently and safely.

🛠 State-of-the-Art Diagnostic and Surgical Tools

Accurate diagnosis and precise planning are critical for surgical success. That’s why all our clinics are equipped with:

  • Digital X-rays for fast and accurate imaging
  • Cone Beam CT Scans (CBCT) for 3D imaging of tooth position, root structures, and surrounding bone
  • Modern surgical instruments for minimally invasive techniques
  • Dedicated sterile operating and treatment rooms to maintain the highest standards of patient safety

These tools allow us to visualize even the most deeply impacted or oddly positioned teeth, ensuring a smooth and effective extraction.

😌 Conscious Sedation for a Comfortable Experience

Dental surgery can cause anxiety for many patients—especially when it involves impacted or hard-to-reach teeth. To help you feel calm and relaxed, we offer Conscious Sedation, administered by a board-certified Anesthesiologist.

This form of conscious sedation keeps you pain-free, relaxed, and mostly unaware of the procedure while still allowing you to respond to verbal cues. It’s ideal for:

  • Nervous or anxious patients
  • Children or teens needing multiple extractions
  • Complex or prolonged surgical cases

What Happens During Supernumerary Tooth Extraction?

1️⃣ Comprehensive Consultation and Imaging

Your treatment begins with a detailed examination and imaging to determine the position, orientation, and depth of the supernumerary tooth. Our team will use digital X-rays or CBCT scans to map out your oral anatomy and create a customized surgical plan.

We’ll also discuss:

  • Sedation options
  • Risks and benefits
  • Expected healing time
  • Coordination with orthodontic treatment, if applicable
2️⃣ The Surgical Procedure

Under local anesthesia—and Twilight Sedation if selected—our Oral Surgeon will:

  • Make a small incision in the gum (for impacted teeth)
  • Carefully remove any bone that may be covering the tooth
  • Section the tooth into smaller parts if necessary
  • Extract the tooth and clean the area
  • Place sutures to promote healing

Depending on the complexity, the procedure may last 30 minutes to an hour.

3️⃣ Aftercare and Recovery

After surgery, you’ll receive a personalized aftercare plan, which typically includes:

  • Pain relief medication or antibiotics (if needed)
  • Instructions on oral hygiene and rinsing
  • Guidelines for soft food intake
  • Tips on minimizing swelling and promoting healing
  • A follow-up schedule to monitor progress

Most patients recover within 5 to 7 days, with full healing over several weeks.

Smile Makeover – Frequently Asked Questions

1

Is it painful?

No. The procedure is done under local anesthesia, and you won’t feel pain during the extraction. If you choose Twilight Sedation, you’ll be even more relaxed and comfortable. Postoperative discomfort is manageable with pain medications and proper care.

2

At what age should supernumerary teeth be removed?

As soon as they are diagnosed and are likely to cause problems. Early removal is often recommended in children to prevent interference with normal tooth eruption or orthodontic development.

3

Can I go back to school or work after surgery?

Most patients need a day or two of rest, especially if sedation was used. You can typically return to normal activities within 2 to 3 days. Strenuous activity should be avoided for 5–7 days to prevent complications.
Panoramic X-ray showing removal of all four wisdom teeth and a supernumerary tooth at Affinity Dental Clinics Makati
All four wisdom teeth and one supernumerary tooth expertly and safely extracted at Affinity Dental Clinics Makati.

Book Your Supernumerary Tooth Consultation Today

An extra tooth doesn’t need to be an extra burden. Whether you’re experiencing symptoms or your dentist has identified a supernumerary tooth on X-ray, the expert team at Affinity Dental Clinics is here to help.

Our Oral Surgeons provide safe, precise, and comfortable Supernumerary Tooth Extraction using the latest techniques and equipment. We’ll walk you through every step—from diagnosis to recovery—so you feel confident and supported throughout your treatment.

📞

Call us or 📩 book your consultation online today at any of our clinics in Makati, BGC, Alabang, Ortigas, Parañaque, or Cebu. Let’s restore balance to your smile—safely and professionally.

Book an Appointment

Prefer to speak with us directly? Contact your chosen clinic below by Phone, Viber, or WhatsApp:

BGC Stopover
BGC High Street
Parañaque (Parqal)
Cebu IT Park

Prefer online booking? Complete the form below by choosing the clinic, date and time.

Full Name
Payment & Insurance :

We accept cash, cards (Visa, Mastercard, AmEx), debit, GCash, and Maya. Installment plans are also available with Metrobank and BDO credit cards—0% interest for up to 6 months. We also honor select international insurance plans (best to check with your provider).

Just a heads up: Philippine-based HMOs/health cards (like Maxicare, Medicard, Intellicare, etc.) aren’t part of our payment options. If you have one, you can still book as a private patient and ask your provider about reimbursements.

Any questions? Message us anytime—we’re here to help.
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