Management of Mesiodens In Mixed Dentition- Molariform and Tuberculate: A Case Report by Reena Augustine in Interventions in Pediatric Dentistry Open Access Journal - Lupinepublishers
Timely intervention is the key to any setback in the mixed dentition.
Teeth which are supplemental to the normal dentition are
supernumeraries, the most common being mesiodens, present in the
premaxillary region. Certain pathological consequences may
arise due to mesiodens like unaesthetic midline diastema, rotation,
displacement, root resorption and cyst formation. The current
case report presents the management of developing malocclusion in the
anterior region due to the presence of mesiodentes- a
molariform and a tuberculate. The molariform mesiodens was impeding the
eruption of the maxillary right central incisor, thus
the surgical removal of both mesiodentes was planned and executed. In
addition to this soft tissue uncovering was done for the
unerupted maxillary central incisor. On follow up, uneventful healing
was observed successfully. Supernumerary teeth, or hyperdontia, is a term that describes
teeth that are surplus in number when compared to the normal
complement of teeth [1]. The etiology of supernumerary teeth
remains unclear and not yet completely understood [2]. Among the
various proposed theories that have attempted to explain the causes
behind the development of supernumerary teeth, current literature
favors the ‘lamina hyperactivity theory’ that states hyperdontia
results from independent, locally conditioned hyperactivity of the
dental lamina [1]. The most commonly occurring supernumerary
tooth is the ‘mesiodens’, a term that was initially coined by Balk
in 1917.As the name suggests, the mesiodens is usually located
mesial to the central incisors in the premaxillary region [3].
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