Abstract
A mesiodense is a most common supernumerary tooth which is one of the most significant dental anomalies at the primary and early mixed dentition stages. The reported prevalence of mesiodense in general population ranges between 0.15% to 1.9% and more frequently found in the permanent dentition but rarely found in primary dentition. Mesiodense are primarily responsible for eruption disturbances or delay of the maxillary anterior permanent teeth emergence. Therefore the dentists and parents are great concern about malocclusion and esthetic problems which is caused by mesiodense. Early detection, diagnosis and treatment of mesiodense is important to prevent further complications in permanent dentition. A case of mesiodense of 8 years old child in upper anterior region in mixed dentition and their management have been discussed.
 Update Dent. Coll. j: 2020; 10 (2): 26-28
Highlights
Supernumerary teeth may be defined as presence of any teeth in excess of the common figure of twenty deciduous, and thirty-two permanent teeth.[1]
The case of management of mesiodens described above represents a small sample of the possible management protocol of supernumerary teeth and supplemental teeth
Management is recommended due to spontaneous eruption of the permanent incisors are influenced by eruption status of supernumerary tooth.[16]
Summary
Supernumerary teeth may be defined as presence of any teeth in excess of the common figure of twenty deciduous, and thirty-two permanent teeth.[1]. Patients with a mesiodense may have other access number of teeth whereas few patients represent with mesiodens in combination with congenitally missing teeth.[6,7] In some syndrome like craniofacial anomalies including cleft lip and palate, Gardner’s syndrome and cleidocranial dysostosis, mesiodens may present clinically.[8] some authors reported that, the positive family history considered to be the one of the predisposing factors.[9] Various complications might occur as a result of the presence of mesiodens including median diastema, delayed eruption, impaction of permanent incisors crowding, spacing, rotation, abnormal root formation, alteration in the path of eruption of permanent incisors, , cystic lesions, intraoral infection, root resorption of the adjacent teeth or even eruption of incisors in the nasal cavity.[10] Seddon et al reported delayed eruption in 26-52% of the cases and displacement or rotation of adjacent teeth in 28% to 63% of the cases.
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