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Case Reports
. 2014 Sep;8(9):ZD32-3.
doi: 10.7860/JCDR/2014/9673.4870. Epub 2014 Sep 20.

Management of Complicated Crown Fracture and Associated Impacted Mesiodens- Case Report with 3yrs Follow-up

Victor Samuel A  1 , Mahesh R  1 , Mohit Gupta Y  1
Affiliations
Case Reports

Management of Complicated Crown Fracture and Associated Impacted Mesiodens- Case Report with 3yrs Follow-up

Victor Samuel A et al. J Clin Diagn Res. 2014 Sep.

Abstract

Mesiodens being the most common type of supernumerary tooth, usually results in malocclusion, poor aesthetics and cyst formation if it is not corrected. The management protocol involves surgical removal. The situation can be complicated in young permanent dentition where there are a lot of chances of damage to the permanent dentition during surgical removal of impacted teeth. This article reports a case of impacted mesiodens which was diagnosed during management of complicated crown fracture. The case was followed up to 3years which showed a good bone formation. The article highlights the need for regular follow-up after surgical removal of impacted teeth in young children, to see any changes or damage in the developing permanent teeth.

Keywords: Fracture; Impaction; Mesiodens; Teeth; Trauma.

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Figures

[Table/Fig-1a, b]:
[Table/Fig-1a, b]:
Clinical and radiogrpaphic image showing fractured 21 and associated impacted mesiodens
[Table/Fig-2a,b]:
[Table/Fig-2a,b]:
Buccal and palatal flap elevation
[Table/Fig-3]:
[Table/Fig-3]:
Surgically removed mesiodens
[Table/Fig-4]:
[Table/Fig-4]:
Postoperatively after jacket crown done in 21
[Table/Fig-5]:
[Table/Fig-5]:
Follow- up image after 3yrs shows good bone formation in the surgical area
See this image and copyright information in PMC

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