Surgical treatment of mesiodens in odontopediatric patient: Case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.9923

Keywords:

Tooth supernumerary; Surgery oral; Pediatric dentistry.

Abstract

Supernumerary teeth are anomalies in number development observed during routine dental examination. Mesiodens is the dental anomaly most frequently seen in permanent dentition, being considered the most common cause of incisor impaction, followed by odontomas and trauma. The most frequent location is in the anterior region of the maxilla and in most studies, it has a conical shape and a short root, which may be single or in pairs, erupted, included and inverted. The diagnosis and treatment depend on several factors such as: position, type and impaction of the supernumerary tooth next to the adjacent teeth. The present study aims to report the case of a patient, 7 years old, who attended the Dental Clinic of Centro Universitário Tiradentes reporting that the tooth was positioned incorrectly. After clinical and radiographic examination, the presence of a mesiodens found in the region of the left upper central incisor was found. It was also observed the delay in the eruption of the tooth mentioned, therefore, it was decided to perform the surgical removal of the supernumerary. About three weeks after the extraction, the permanent element started to erupt, proving the suspicion that it was being impacted by the supernumerary element. It was then possible to realize that the faster the diagnosis, the better the prognosis, since there may be several consequences such as resorption of the permanent tooth, formation of cysts, malocclusion, aesthetic compromise.  

References

Amaral, D. C., Gomes, C. C., & de Carvalho, J. G. (2017). Melhor oportunidade cirúrgica para remoção de dente supranumerá-rio mesiodens em paciente infantil. Scientific Investigation in Dentistry, 22(1), 30-32. Recuperado de http://periodicos.unievangelica.e du.br/index.php/scientificinvestigationindestist/article/view/2600/2104.

Anegundi, R. T., Tegginmani, V. S., Battepati, P., Tavargeri, A., Patil, S., Trasad, V., & Jain, G. (2014). Prevalence and characteristics of supernumerary teeth in a non-syndromic South Indian pediatric population. Journal of Indian Society of Pedodontics and Preventive Dentistry, 32(1), 9. Doi: 10.4103 / 0970-4388.127041

Báez-Quintero, L. C., Percinoto, C., Cunha, R. F., Amaral, J. G., Hosida, T. Y., Favretto, C. O., ... & Delbem, A. C. B. (2017). OCCl o35-Mesiodente impactado na linha meia da maxila e assoalho da fossa nasal: caso clínico. Archives of health investigation, 6. Recuperado de https://archhealthinvestigation.emnuvens.com.br/ArcHI/article/view/2528

Chaushu, S., Dykstein, N., Ben-Bassat, Y., & Becker, A. (2009). Periodontal status of impacted maxillary incisors uncovered by 2 different surgical techniques. Journal of oral and maxillofacial surgery, 67(1), 120-124. Doi: https://doi.org/10.1016/j.joms.2008.08.012

Da Silva Soares, K., Da Silva Soares, M., Neto, I. J. C., Monezi, L. L. D. L., & de Melo Franco, Á. V. (2016). Dentes Inclusos e Impactados Pela Presença de Dois Mesiodentes: Relato de Caso. Revista da AcBO-ISSN 2316-7262, 5(2). Recuperado de http://www.rvacbo. com.br/ojs/index.php/ojs/article/view/301

Ferrés Padró, E., Prats Armengol, J., & Ferrés Amat, E. (2009). A descriptive study of 113 unerupted supernumerary teeth in 79 pediatric patients in Barcelona. Recuperado de http://hdl.handle.net/10550/60561

Lara, T. S., Lancia, M., Silva Filho, O. G. D., Garib, D. G., & Ozawa, T. O. (2013). Prevalence of mesiodens in orthodontic patients with deciduous and mixed dentition and its association with other dental anomalies. Dental press journal of orthodontics, 18(6), 93-99. Doi: https://doi.org/10.1590/S2176-94512013000600014

Lee, S. S., Kim, S. G., Oh, J. S., You, J. S., Jeong, K. I., Kim, Y. K., ... & Lee, N. Y. (2015). A comparative analysis of patients with mesiodenses: a clinical and radiological study. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 41(4), 190. Doi: https://doi.org/10.5125/jkaoms.2015.41.4.190

Rocha, A. M. L., Columbano Neto, J., & Souza, M. D. (2002). Hiperdontia na região de incisivos superiores. J Bras Ortodon Ortop Facial, 7(41), 389-396. Recuperado de https://www.dtscience.com/wp-content/uploads/2015/10/Hiperdontia-na-Regi%C3%A3o-de-Incisivos-Superiores.pdf

Lodi, C. S., Rodrigues, A., & Angeloni, B. P. (2017). Diagnóstico e tratamento de dente supranumerário incluso: relato de caso. Revista Funec Científica–Odontologia, 1(1), 22-32. Recuperado de http://www.academia.edu/download/59685961/DIAGNOSTICO_E_T RATAMENTO_DE_DENTE_SUPRANUMERARIO20190612-45388-npbm3j.pdf.

Macêdo, T. F. O., Melo, M. N. B., Freire, F. F. P., & RMX, D. (2013). Hiperdontia: relato de caso com 10 elementos supranumerários. RBO, 4(2), 138-146. Doi: http://dx.d oi.org/10.17267/2596-3368dentistry.v4i2.255

Mahesh, R., Kanimozhi, I. G., & Sivakumar, M. (2014). Dilaceration and eruption disturbances in permanent teeth: a sequelae of trauma to their predecessors-diagnosis and treatment using Cone Beam CT. Journal of Clinical and Diagnostic Research: JCDR, 8(5), ZD10. doi: 10.7860/JCDR/2014/6657.4342

Marchetti, G., & De Oliveira, R. V. (2015). Mesiodens-dentes supranumerários: diagnóstico, causas e tratamento. Revista Uningá Review, 24(1). Recuperado de <http://34.233.57.254/index.php/uningareviews/article/view/1682>.

Mukhopadhyay, S. (2011). Mesiodens: a clinical and radiographic study in children. Journal of Indian Society of Pedodontics and Preventive Dentistry, 29(1), 34. Doi: 10.4103/0970-4388.79928

Munns, D. (1981). Unerupted incisors. British journal of orthodontics, 8(1), 39-42. Doi: https://doi.org/10.1179/bjo.8.1.39

Patil, S., Pachori, Y., Kaswan, S., Khandelwal, S., Likhyani, L., & Maheshwari, S. (2013). Frequency of mesiodens in the pediatric population in North India: A radiographic study. Journal of clinical and experimental dentistry, 5(5), e223. Doi: 10.4317/jced.51162

Pereira, A. S. et. Al. Metodologia da pesquisa científica [recurso eletrônico]. Recuperado de https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Russell, K. A., & Folwarczna, M. A. (2003). Mesiodens-diagnosis and management of a common supernumerary tooth. Journal-Canadian Dental Association, 69(6), 362-367. Recuperado de http://www.cda-adc.ca/jcda/vol-69/issue-6/vol69_issue6.pdf#page=22

Published

15/11/2020

How to Cite

Cruz, A. Ítalo ., Nascimento, E. C. do ., Oliveira, F. V. M. de B. ., Albuquerque, I. C. L. ., Oliveira, L. N. M. de ., Santos, N., Costa, P. J. C. ., & Amaral, R. C. . (2020). Surgical treatment of mesiodens in odontopediatric patient: Case report. Research, Society and Development, 9(11), e3289119923. https://doi.org/10.33448/rsd-v9i11.9923

Issue

Section

Health Sciences