Abstract
The incidence of supernumerary teeth in the maxillary anterior region is high. We frequently encounter maxillary impacted mesiodens that causes diastema. However, the incidence of supernumerary teeth in the mandibular anterior region is low, and mandibular impacted mesiodens is very rare. Here we describe our experience with such a case. A 9-year-old girl was referred to our department on June 11, 1997 for extraction of a mandibular anterior impacted supernumerary tooth. She had previously consulted a dental clinic for mandibular diastema. A radiographic examination showed an impacted supernumerary tooth between the mandibular central incisors. The direction of eruption was normal. A sagittal tomographic image showed that it was located on the labial side. The surrounding gingiva was normal. We extracted the tooth with the patient under local anesthesia. The extracted tooth measured approximately 9 mm by 3 mm. It was a conical tooth, resembling a central incisor. The patient is doing well.
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