The consequences of an untimely diagnosed mesiodens: Case report

Abstract

Supernumerary teeth may have all characteristics of normal teeth (dens supernumeratus) or, more frequently, appear as rudimentary remains of the tooth bud (dens accessories). Such teeth may cause various complications and the most frequent are orthodontic anomalies and follicular cysts. Among all supernumerary teeth, the most frequent is mesiodens. It may be of different shape, but most often is conical. Untimely diagnosed and treated mesiodens may, in older age, result in complications and compromise prosthodontic rehabilitation. The aim of this study was to present a case where untimely treatment (diagnostics and extraction) of a mesiodens resulted in the formation of a follicular cyst and a partial resorption of the root of an adjacent tooth (central incisor), which had to be extracted. The patient sought a prosthodontic treatment. However, a hazelnut-size tumor was found in the upper anterior region. Clinical and X-ray examination implied the presence of a follicular cyst around a supernumerary tooth, which was situated between upper central incisors. Cystical sac was removed in a usual manner along with the extraction of the impacted mesiodens. Unfortunately, the upper central left incisor had to be extracted as well due to a progressed root resorption

Therapeutic options in the treatment of supernumerary teeth

“…Prekobrojni zubi mogu izazvati brojne komplikacije: izostanak erupcije, izmenjen položaj stalnih zuba, resorpciju susednog zuba, razvoj odontogenih cisti, nastanak dijasteme između centralnih inciziva, a mogu i ometati izvođenje pravilne oralne higijene [1,12,13]. U većini slučajeva, pored funkcionalnog, prekobrojni zubi predstavljaju i značajan estetski problem mladim osobama u osetljivom periodu života.…”

“…Supernumerary teeth can cause many complications: absence of eruption and altered position of permanent teeth, teeth resorption, odontogenic cysts development, formation of diastema between central incisors, and may interfere with proper oral hygiene maintenance [1,12,13]. It is significant functional and aesthetic problem for young people in adolescence.…”