INTRODUCTION
Teeth present in excess of the normal series of dentition are called supernumerary teeth. The condition of having supernumerary teeth is referred to as hyperdontia. Supernumerary teeth can occur in primary or permanent denti-tion, but are more frequently reported in per-manent dentition. They can occur in different forms, unilaterally or bilaterally and either in the maxilla or mandible. Supernumerary teeth may be an incidental finding on a radiograph or the cause for failure of eruption of perma-nent teeth. The most common supernumerary tooth is the mesiodens that occurs between the maxillary central incisors [1]. Heredity may also play a role in the occurrence of this ano-maly, as supernumeraries are more common in the relatives of affected children than in the general population [2].
Occurrence of supernumeraries is reported to be 0.2 to 0.9 % of the general population and is seen more frequently in permanent dentition [3]. Approximately 90% of cases present in the maxilla with a strong predilection for the incisor region (mesiodens), followed by max-illary and mandibular fourth molars (distomo-lars or distodens), premolars, canines and lat-eral incisors [4]. Hyperdontia exhibits a 2:1 male predominance [4].
Supernumerary teeth can be classified on the basis of their morphology or position. On the basis of morphology, they are classified as1. Supplemental (where the tooth has a normal shape for the teeth in that series)
2. Tuberculate (also called "barrel shaped")
3. Conical (also called "peg shaped")
4. Compound odontome (multiple small tooth-like forms)
5. Complex odontome (a disorganized mass of dental tissue) [5].
On the basis of position, a supernumerary tooth may be referred to as a mesiodens, para premolar, para molar, or a distomolar [6]. Multiple supernumerary teeth are usually as-sociated with conditions such as cleft-lip and palate or syndromes like cleidocranial dyspla-sia and Gardners syndrome [7]. However, it is rare to find multiple supernumeraries in indi-viduals with no other associated disease or syndrome [8]. Bilateral para premolars affect-ing both jaws are extremely rare. We describe the occurrence of non-syndromic multiple pa-rapremolars in a male patient.