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Mesiodens

This case series examines the morphological presentation of mesiodens in 32 patients seen at a dental hospital in Nepal. Mesiodens are supernumerary teeth located in the maxillary central incisor region. The study found that the most common morphological form was conical (71%), followed by supplemental (18%) and tuberculate (11%). Of the total 38 mesiodens observed, 27 were conical, 7 were supplemental, and 4 were tuberculate. Irrespective of morphology, all forms of mesiodens require surgical removal as they can interfere with normal tooth development and alignment.

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41 views1 page

Mesiodens

This case series examines the morphological presentation of mesiodens in 32 patients seen at a dental hospital in Nepal. Mesiodens are supernumerary teeth located in the maxillary central incisor region. The study found that the most common morphological form was conical (71%), followed by supplemental (18%) and tuberculate (11%). Of the total 38 mesiodens observed, 27 were conical, 7 were supplemental, and 4 were tuberculate. Irrespective of morphology, all forms of mesiodens require surgical removal as they can interfere with normal tooth development and alignment.

Uploaded by

SAGAR ADHIKARI
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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MORPHOLOGICAL PRESENTATION OF MESIODENS:

A Case Series
Adhikari S, Rimal J, Maharjan IK, Regmee P, Luitel A, Sharma D
Department of Oral Medicine and Radiology, College of Dental Surgery, BPKIHS

INTRODUCTION
• Supernumerary tooth is an anomaly of dental eruption that is not
rare to find in the clinical practice
• Mesiodens are the most common supernumerary teeth
(Prevalence: 0.15% to 1.9%)
• The mesiodens is found in the region of the maxillary central
incisors and it can be the cause of many complications. Fig 4: Tuberculate Mesiodens
• It may present in various morphological forms
• Supplimental: Resembling normal anterior tooth
• Conical
• Tuberculate
• Mesiodens can cause delayed or ectopic eruption of the permanent
incisors, which can further alter occlusion and appearance.
• It is therefore important for the clinician to diagnose a mesiodens
early in development to allow for optimal treatment. Fig 5 Supplimenta Mesiodens

CASE DESCRIPTION

• This case report includes clinical and radiographic images of 32


patients that visited Department of Oral Medicine and Radiology,
BPKIHS, Dharan with mesiodens
• Of 32 cases with mesiodens, 6 had paired mesiodens. Fig 6: Conical Mesiodens
• Of total 38 mesiodens, 7 were supplemental, 4 were tuberculate
and 27 were conical (Figure: 1) DISCUSSION
• Conical mesiodens is more common, and is more likely to erupt
between the central incisors as a diminutive but fully developed
Supplimen- tooth.
tal 18% • In contrast, tuberculate mesiodens tends to develop later and
Tuberculate shows incompletely developed roots
11% • Most common: Conical
Conical • Hernandez et al.:
71% • Single mesiodens: 76.8% and
• Paired mesiodens: 23.1%

Figure 1: Morphological presentation of Mesiodens CONCLUSION


• Most common morphological form of mesiodens was conical
while the rarest was tuberculate
• Irrespective of morphology of mesiodens, all forms of mesiodens
require surgical removal as they hinder the growth and
development of dentoalveolar structures.

KEY WORDS
Mesiodens, Morphology, Supernumerary tooth

Fig 2: Paired Mesiodens Fig 3: Inverted Mesiodens Reference: 1. Tyrologou S, Koch G, Kurol J. Location, complications and treatment
of mesiodentes-a retrospective study in children. Swed Dent J. 2005 Jan 1;29(1):1-9.
Correspondence: Dr. Sagar Adhikari, Junior Resident, Department of 2. Mukhopadhyay S. Mesiodens: a clinical and radiographic study in children. Journal
Oral Medicine and Radiology, BPKIHS, Dharan of Indian Society of Pedodontics and Preventive Dentistry. 2011 Jan 1;29(1):34.

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