ORAL SURGERY : Inverted mesiodens: case report

Mesiodens is the term used for describing the supernumerary tooth that occurs in the maxilla, between the central incisors, in the midline region. 

These may erupt in the oral cavity or keep themselves impacted. 


Their presence causes cleaning inadequate, impossibility or difficult of the eruption of the regular teeth and having the aesthetic compromised. 

This paper aims at showing that early identification of supernumerary teeth, planning and correct approach, allow the preservation of the teeth and adjacent structures. 

mesiodens-surgery

This article presents the clinical case of a seven-year-old child, male, who sought for treatment complaining that teeth 11 didn't appear in the buccal cavity. Clinical and radiographic exams were done and they demonstrated the presence of the supernumerary tooth. 

The plan of treatment aimed at the correct localization, extraction of this supernumerary tooth and continuous follow up of the case.

INTRODUCTION : "Mesiodens" is the term used to describe the supernumerary tooth that occurs in the maxilla, between the central incisors, in the midline region. 

► Read also: Dentinogenesis imperfecta type II: approach for dental treatment 

Supernumerary is the given denomination to the tooth which results from the hyperdontia, a developmental alteration.

There are several theories suggesting possible etiological factors to this alteration in the ordinary number of teeth, as phylogenetic reversion, dichotomy of a tooth germ and hyperativity of the dental lamina. 

The combination of genetic factors can also influenciate this anomaly. 



RGO - Revista Gaúcha de Odontologia
Eneane MIRANDA, Luciene Dornas MENDES, Sérgio Milton Martins de Oliveira PENIDO, Cláudia Valéria de Sousa Resende PENIDO



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