Management of Mesiodens and ectopically Erupted Central Incisor

2016 ◽  
Vol 8 (1) ◽  
pp. 49-53
Author(s):  
Mebin George Mathew

ABSTRACT Pediatric dentists come across children and developing malocclusion at the earliest, early recognition and interception could avoid long-term laborious orthodontic treatment. Mesiodens are the most common supernumerary teeth, in the central region of the premaxilla, between the two central incisors, which may be the cause for a variety of irregularities in the developing occlusion, in particular, can lead to the impaction or ectopic eruption of adjacent permanent teeth, in the most esthetically important zone. Presented here is a case of management of ectopically erupted right permanent central incisor caused due to supernumerary tooth. How to cite this article Nagaveni NB, Poornima P, Valsan A, Mathew MG. Management of Mesiodens and ectopically Erupted Central Incisor. CODS J Dent 2016;8(1):49-53.

2021 ◽  
pp. 1-5
Author(s):  
Abu-Hussein Muhamad ◽  
◽  
Alsaghee Maria ◽  
Ali Watted ◽  
◽  
...  

Impaction of maxillary central incisors is frequent in dental practice. However its management is challenging because of its importance in aesthetics. Supernumerary teeth are the most common dental anomaly that can cause impaction of adjacent teeth, crowding, diastema, rotation and displacement of teeth. We report a case of 13 year old male with an impacted supernumerary tooth in the maxillary anterior region, which was interfering with the eruption of the permanent, left central incisor. The impacted supernumerary tooth was surgically removed. With the application of an orthodontic traction, impacted left maxillary central incisor was brought down to its proper position in the dental arch.


Author(s):  
Niharika Pandey ◽  
Parthsarthi Gautam ◽  
Satabdi Saha ◽  
Subrata Saha

Odontogenic anomalies are frequently observed by pedodontists in their routine practice. Concomitant hypodontia and hyperdontia is a rare condition of unknown aetiology. CHH may occur in both the jaws and is more common in the permanent and mixed dentition. This article, describes a case of non-syndromic CHH in the mixed dentition. Genetic factors probably play an important etiological role in the co-occurrence of partial anodontia and supernumerary teeth. A 7 year old boy showed a conical mesiodens and missing right primary central incisor. Radiographic examination of the patient revealed presence of succedaneous permanent teeth. Key Words: Concomitant hypohyperdontia, hypodontia, supernumerary tooth, mesiodens


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
I. A. Alnaqbi ◽  
A. O. Mageet

Hyperdontia or supernumerary teeth are the erupted or impacted teeth, which develop in addition to the regular dental series and might cause many occlusal problems. This article sheds light on a case of impacted maxillary left central incisor (21) due to a mesiodens supernumerary tooth and a late development of another supernumerary tooth in the upper left premolar area at the end of orthodontic treatment. O.A. is an 11-year, eight-month-old male, African patient presented to the orthodontic clinic with a chief complaint “My upper front tooth did not erupt although the dentist attached a wire to pull it with the help of a neighbouring tooth.” Clinically, he is medically fit and healthy, presented with class II division I malocclusion on skeletal II base; mild space discrepancy in the upper and lower dental arches; impacted 21; increased overjet; reduced overbite; localized bilateral posterior crossbite in relation to tooth number 16, 15, 25, and 26; and lower centreline shift to the left. Radiographically, lateral cephalometric radiograph confirms the skeletal relationship, whereas dental panoramic tomography (DPT) shows impacted 21 and the presence of all permanent teeth. The treatment plan consists of comprehensive orthodontic treatment using preadjusted edgewise metallic bracket, Roth prescription 0.022 ″ × 0.028 ″ slot and an active transpalatal arch (TPA) with palatal arms. Retention regimen comprises of upper and lower bonded retainers from canine to canine and vacuum-formed retainers (VFRs) for both dental arches.


2017 ◽  
Vol 63 (3) ◽  
pp. 137-141
Author(s):  
Mioara Decusară ◽  
◽  
Cerasella Dorina Şincar ◽  
Gabriel Valeriu Popa ◽  
◽  
...  

Introduction. Dental impaction represents the group of isolated dental anomalies characterized by retention of a tooth with a fully formed root in the jaw bone, after the eruption period has passed. This anomaly may affect deciduous teeth, permanent or supernumerary teeth causing aesthetic and / or functional disorders. Case report. The case presents a clinical situation of a girl who presented two maxillary teeth impacted (a central incisor and a cuspid) who underwent surgical exposure and orthodontic treatment for their arch alignments. Conclusions. Impacted teeth may produce dental malpositions or root resorption of the adjacent teeth, cysts or chronic local infections, which carry out a surgical orthodontic treatment, complex and for a long term, depending on the clinical situation existing.


2021 ◽  
Vol 11 (1) ◽  
pp. 55-60
Author(s):  
Barun Kumar Sah ◽  
Jamal Giri ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha

Clinically, supernumerary teeth are able to cause different local disorders and the most common one is impaction of maxillary incisors. Impacted maxillary incisors substantially affect esthetics, function, and self‑esteem of patients. Impaction of maxillary permanent incisor is a rare clinical entity in dental practice. Although impaction of a permanent tooth is rarely diagnosed during the mixed dentition period, an impacted central incisor is usually diagnosed accurately when there is delay in the eruption of tooth. Multiple treatment options are available for impacted incisors. Surgical-orthodontic treatment is one of the alternative option for the correction. Early diagnosis and management of supernumer¬ary teeth is important to prevent the need for more complex surgical and orthodontic treatment. Here, we present a report of two cases of impacted maxillary incisors and its management


2019 ◽  
Vol 24 (2) ◽  
Author(s):  
Anna Pogorzelska ◽  
Anna Stróżyńska-Sitkiewicz ◽  
Kazimierz Szopiński

Root resorption in moved teeth is a common undesirable side effect of orthodontic treatment. This pathology usually affects permanent teeth. Although any part of the root may be involved, the apical or cervical area is usually affected. The formation and development of these changes are a long-term process and depend on various factors. The etiology of resorptive changes associated with orthodontic treatment has been widely discussed by many authors, who proposed numerous classifications. Particularly noteworthy are the works on techniques for the treatment of malocclusion and their potential adverse effects. Modern diagnostic methods allow for an early detection of this pathology and the implementation of appropriate therapeutic measures. These techniques include periapical radiography (paralleling technique) combined with cone-beam computed tomography. Dentists not only notice the need to achieve a beautiful smile, but they also take into account possible root shortening. This process is not fully understood, but realizing its existence is important for planning and implementing both orthodontic and general dental treatment.


2019 ◽  
Vol 43 (4) ◽  
pp. 244-251 ◽  
Author(s):  
Tamar Finkelstein ◽  
Yehoshua Shapira ◽  
Aikaterini Maria Pavlidi ◽  
Shirley Schonberger ◽  
Sigalit Blumer ◽  
...  

Background: Supernumerary teeth are one of the most common anomalies in the human dentition, found most frequently in the maxillary anterior region causing impaction or displacement of the adjacent permanent teeth. Aim :The purpose of this retrospective study was to determine the prevalence and characteristics of supernumerary teeth in orthodontically treated patients. Study design: Pre-treatment facial and intraoral photographs, study models, panoramic and periapical radiographs of 3,000 consecutively treated orthodontic patients (mean age 12.2 years) from the Department of Orthodontics Tel Aviv University, were examined to detect supernumerary teeth in both arches. They were recorded according to gender, age, number, location, position and morphology. Results: Thirty-six patients, 22 (61%) males and 14 (39%) females with 50 supernumerary teeth, of which 42 (84%) were found in the maxillary anterior region, and 8 (16%) in the mandible, presenting a prevalence of 1.2%. Conclusions: A prevalence of 1.2% was found in our study. The most common supernumerary tooth is mesiodens located at the maxillary anterior region. The characteristics of supernumeraries were based on their morphology, location and position. The most frequent complications caused were rotations, displacement and arrested eruption of maxillary incisors.


2021 ◽  
Vol 11 (11) ◽  
pp. 4827
Author(s):  
Mi-Hyun Seo ◽  
Hoon-Joo Yang ◽  
Jeong-Joon Han ◽  
Ik-Jae Kwon ◽  
Hoon Myoung ◽  
...  

Permanent central incisor impaction is very rare, and causes of impaction include adjacent supernumerary teeth, odontoma, and trauma. Surgical repositioning is a treatment option for teeth with ectopic eruption pathways. In this case report, an inverted developing maxillary central incisor was surgically repositioned at the initial stage of root development. Three dimensional (3D) virtual images were acquired using computed tomography, and a replica was produced by LCD-based masked stereolithography 3D printing. A resin for 3D printing was approved as a medical device and used as a 3D printing replica. Further, 3D technology has been found to be useful for successful tooth repositioning surgery.


Author(s):  
Md Sayeedul Islam ◽  
Md Zakir Hossain

Maxillary central incisor impactions occur infrequently.Their origins include various local causes, such as odontoma, supernumerary teeth, and space loss. Supernumerary and ectopically impacted teeth are asymptomatic and found during routine clinical or radiological examinations. The surgical exposure and orthodontic traction of impacted right central incisor after removal of odontomas is presented in this report. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.31-37


2018 ◽  
Vol 10 (1) ◽  
pp. 32-36
Author(s):  
Karthik J Kabbur ◽  
Hemanth M ◽  
Preeti Patil ◽  
Ramnarayan B K ◽  
Reshma Deepak

Mesiodens is the most common supernumerary tooth and is present in the midline between the two central incisors. It occurs mostly due to hyperactivity of the dental lamina. They are usually small, with a cone shaped crown and a short root, may be single or paired, erupted or impacted and occasionally even be inverted. Presence of more than one mesiodens is termed as mesiodentes. Presence of mesiodens may cause impaction or delayed eruption of permanent teeth, malocclusion leading to disturbance in chewing, swallowing and speech, root resorption of the adjacent teeth, impaired dentofacial aesthetics, and sometimes cyst formation. The erupted mesiodens can be easily diagnosed clinically, and the unerupted ones are best diagnosed by clinical and radiological evaluation. Although mesiodens is the most common supernumerary teeth, presence of double mesiodens is uncommon. In this paper we describe a case of palatally erupted double mesiodens and its management in a 20year old girl.


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