Molariform Mesiodens in Primary Dentition

Abstract

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch, and incidence of molariform mesiodens in the maxillary midline is rare in permanent dentition and extremely uncommon in primary dentition. A midline supernumerary tooth in the primary dentition can cause ectopic or delayed eruption of permanent central incisors which will further alter occlusion and may compromise esthetics and formation of dentigerous cysts. This paper reports a rare case of the presence of a molariform mesiodens in the primary dentition. On clinical and radiographic examination, flaring of the primary central incisors was seen, with a molariform mesiodens consisting of multiple lobes or tubercles on the occlusal surface with the well-formed root. The treatment plan consisted of the extraction of the supernumerary tooth and regular observation of permanent central incisors for proper eruption and alignment.

Surgical management of mesiodens based on characteristics and complications of the condition: a systematic review

“…Eleven out of 30 patients presented with double mesiodens and 3 of them had different eruption status (1 erupted tooth and 1 impacted tooth) [6,12,19]. Furthermore, 15 cases of erupted mesiodens were observed out of a total of 41 mesiodens [20][21][22][23][24][25][26].…”

Propedêutica cirúrgica de mesiodens em paciente odontopediátrico

“…A avaliação do paciente deve ser minuciosa, pois uma anamnese, exame clínico e imaginológico fundamentado, conceberão um diagnóstico e plano de tratamento apropriado ao paciente [16][17][18] . Embasando os meios de diagnóstico utilizados no caso apresentado.…”

Bilateral Molariform Supernumerary Teeth in the Anterior Maxilla: A Report of Two Cases

“…Although controversial, surgical exposure of the unerupted teeth can also be done but there was no need for it in this case. During the procedure avoiding any trauma to adjacent teeth is crucial ( 8 , 9 ).…”

“…Supernumerary teeth may be single or multiple and erupted or impacted. Multiple supernumerary teeth, which are generally impacted, are characteristically seen in cleidocranial dysplasia, cleft lip and palate, Down syndrome and Gardner syndrome ( 8 , 9 ).…”