MESIODENTES BILATERALMENTE A LINHA MÉDIA: RELATO DE CASO

Paloma De Souza Lessa,José Massao Miasato,Luciana Alves Herdy Da Silva,Leila Maria Chevitarese De Oliveira

doi:10.46311/2318-0579.58.euj3481

Abstract

Mesiodens is the more frequent supernumerary tooth, located between the upper central incisors and can be found in deciduous or permanent dentition, with greater predominance for males, which can cause functional, aesthetic and psychological changes. Aiming to report a clinical case that presents two mesiodens bilaterally in the anterior maxillary region, causing impaction of the permanent upper central incisors. A non-syndromic, male, 5-year-old patient sought care accompanied by his legally responsible at the Pediatric Dentistry Clinic of the Universidade do Grande Rio, referred by the private clinic because it was believed that the procedure could only be performed with the use of conscious sedation. The treatment plan was carried out through imaging exams and clinical evaluation. It is concluded that a good evaluation, diagnosis, and adequate planning are fundamental in therapeutics. Therefore, they have allowed the eruption of the central incisors, contributing to a better quality of life and self-esteem.

Highlights

Mesiodens is the more frequent supernumerary tooth, located between the upper central incisors and can be found in deciduous or permanent dentition, with greater predominance for males, which can cause functional, aesthetic and psychological changes
A queixa principal relatada foi a estética, causada pela presença de dois dentes supranumerários conóides na região anterior de maxila, na linha média, ocupando o espaço dos incisivos centrais superiores
Foi sugerido e realizado a reanatomização dos supranumerários conóides, com a matriz de celuloide, que contribuiu para a melhora do comportamento e autoestima do paciente

Summary

Introduction

Mesiodens is the more frequent supernumerary tooth, located between the upper central incisors and can be found in deciduous or permanent dentition, with greater predominance for males, which can cause functional, aesthetic and psychological changes. Segundo Soares et al (2016), os dentes supranumerários são uma anomalia de número, em que há formação de um elemento ou mais na dentição que podem ter formas rudimentares, conóide, tubérculo e são classificados quanto à localização em mesiodente, parapremolar, paramolar e distomolar (SHARMA; SINGH, 2012). Frequentemente, o diagnóstico de supranumerários é realizado após exames clínicos e radiográficos rotineiramente, além da associação no distúrbio de erupção dos dentes permanentes (REIS et al, 2014).

Results

Conclusion