Radiographic characteristics of mesiodens in a non‐syndromic pediatric population in the Black Sea region

Abstract

Aim A mesiodens is the most frequent type of supernumerary tooth. They can be related to several complications, such as ectopic eruption and midline diastema. The aim of the present study was to assess the radiographic properties of mesiodens by analyzing the associated age, sex distribution, number of mesiodens per patient, shape, direction of eruption, and their association with complications. Methods The present study was performed using panoramic radiographs of 14 400 pediatric patients (4‐14 years old) who visited the Department of Pediatric Dentistry at Gaziosmanpasa University for a variety of dental complaints from 2015 to 2018. Results There were 82 mesiodens diagnosed in a total of 71 patients. Among the 82 mesiodens, 51 (62.1%) were conical in shape, which was the most commonly seen shape, followed by 14 supplemental (17.07%), and 12 (14.6%) tuberculate. Of the 82 mesiodens, 65 (79.2%) were aligned vertically, nine (10.9%) were inverted, and eight (9.7%) were horizontally placed. Clinical complications were observed in 76.8% of patients. Conclusion The management of mesiodens can be performed using three methods: (a) spontaneous eruption; (b) early intervention; and (c) delayed intervention. However, the management of mesiodens should be evaluated on an individual basis to determine the best treatment method. Mesiodens‐associated complications should be addressed prior to the lateral incisors erupting.

Intervenção cirúrgica de mesiodens na dentição mista e impacto na qualidade de vida: relato de caso / Surgical intervention of mesiodens in mixed dentition and impact on quality of life: case report

“…Mesiodens é o supranumerário mais comum e tem predileção com o gênero masculino, na faixa etária de 6-9 anos. Localizado na grande maioria dos casos na maxila, pode se apresentar de forma cônica e também de forma invertida, podendo causar retardos na erupção dentária, diastemas, apinhamentos, problemas estéticos e disfunções oclusais (SOARES et al, 2017;ALTAN;AKKOC;ALTAN, 2019;ROSA et al, 2019).…”

Hyperdontia: Exploring the Developmental Abnormality

“…1). Its incidence is reported to range between 0.13-1.6% [20][21][22][23][24][25][26][27] with a 1.5-2.8:1 predilection for occurrence in males [20-24, 27, 28]. Bilateral mesiodentes occur in 4-25.8% of all cases [20,21,23,24,29].…”

“…Its incidence is reported to range between 0.13-1.6% [20][21][22][23][24][25][26][27] with a 1.5-2.8:1 predilection for occurrence in males [20-24, 27, 28]. Bilateral mesiodentes occur in 4-25.8% of all cases [20,21,23,24,29]. Mesiodens are usually found unerupted [13,21,23,24,27], with a cone-shaped crown and a short root [20,21,23,28,30].…”

Multidisciplinary Treatment of Mesiodens Causing Delayed Tooth Eruption and Follow-Up: Report of Two Cases

“…Where tuberculate shaped mesiodens is commonly seen is the permanent dentition, and the mesiodens disrupt eruption. [6,7] Root formation does not exist in conicalshaped teeth, while it also does not exist or is incomplete in tuberculate-shaped teeth. Supplemental mesiodens is most commonly seen in the primary dentition.…”

“…Several clinical complications might occur due to mesiodens such as involvement with the adjacent teeth eruption and location, mesiodens pulpitis, dentigerous cyst formation, delayed or non-eruption of maxillary incisors, axial rotation or inclination of erupted permanent teeth, intraoral infection, and midline diastema. [7][8][9][10] The most frequently covered complications in the literature and the most commonly reported complications are diastema, delayed eruption, rotation, root resorption, and dentigerous cyst formation. [7][8] We aimed to give information about the surgical intervention's application time and success and removable orthodontic apparatus in mesiodens treatment.…”