Abstract
The purpose of this work is to report on the reestablishment of the patient's occlusion through the surgical removal of mesiodens in the palate. A 15-year-old male patient sought care at the dental clinic at Nilton Lins University accompanied by his guardian, carrying a panoramic radiograph and presenting aesthetic discomfort due to fracture of tooth 21 as the main complaint, the clinical evaluation verified the presence of a structure similar to a supernumerary tooth, this structure prevented a satisfactory occlusion of the patient, destabilizing the lower arch and acting on the intrusion effect of the lower incisors of the third quadrant. Based on the clinical characteristics presented along with the imaging exam, the person responsible for the removal of the mesiodens for occlusal reestablishment and subsequent fabrication of composite resin restoration with return of the disocclusion guide was chosen. The mesiodens was extracted and the occlusal normality was reestablished. Therefore, in view of the clinical resolution presented, the treatment was satisfactory, allowing the advancement to the restorative stages, and returning a normal pattern of the patient's occlusal profile.
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