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Case Reports
. 2024 Jul-Dec;14(2):255-257.
doi: 10.4103/ams.ams_98_24. Epub 2024 Oct 15.

Orthodontic-Surgical Management of Triple Impacted Mesiodens and Maxillary Incisors - A Case Report

K R Ashok Kumar  1 , S Varsha  1 , R Mahesh Kumar  1 , B Jambukeshwar Kumar  1 , Supriyo Pal  1 , Swadhinata Handique  2
Affiliations
Case Reports

Orthodontic-Surgical Management of Triple Impacted Mesiodens and Maxillary Incisors - A Case Report

K R Ashok Kumar et al. Ann Maxillofac Surg. 2024 Jul-Dec.

Abstract

Rationale: Mesiodens are supernumerary teeth located in the pre-maxilla between the two central incisors with a prevalence rate of 0.15-1.9%. An impacted mesiodens may cause delayed eruption of permanent incisors, ectopic eruption, pathological disturbances and malalignment of teeth.

Patient concerns: The patient complained of missing upper front teeth associated with pain in the same region for two weeks.

Diagnosis: Upon clinical and radiographic examination, it was diagnosed as triple impacted mesiodens with impacted permanent maxillary central incisors.

Treatment: The clinicians in the study approached the issue by surgical removal of the impacted mesiodens and orthodontic treatment for extrusion of the impacted permanent maxillary central incisors.

Outcomes: The patient was relieved of the pre-operative concerns and followed up regularly for the eruption of permanent maxillary central incisors.

Take-away lessons: The authors advocate the importance of timely diagnosis and proper management of such rare pathologies.

Keywords: Impaction; Mesiodens; management; supernumerary teeth.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative intraoral examination revealing swelling of the gingiva in the anterior maxillary region
Figure 2
Figure 2
Preoperative evaluation of the maxillary arch using cone-beam computed tomography (CBCT) showing triple impacted mesiodentes along with impacted permanent maxillary central incisors
Figure 3
Figure 3
Intraoperative images: (a) Location of the triple impacted mesiodens, (b) Extracted supernumerary teeth
Figure 4
Figure 4
Intraoperative image post-closure showing orthodontic therapy initiation of the impacted permanent central incisor
Figure 5
Figure 5
Follow-up image showing extrusion of central incisors
See this image and copyright information in PMC

References

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