Inverted Mesiodens
DOI:
https://doi.org/10.60094/RID.20220101-8Keywords:
Dental anomalies, supernumerary tooth, cone beam computed tomographyAbstract
Supernumerary teeth are teeth in addition to normal dentition. A mesiodens is a supernumerary tooth located in the upper jaw, in the midline area, generally between the two central incisors, presenting in a single, multiple or bilateral way. Although they are often asymptomatic, some complications that can be caused include impaction of permanent incisors, delayed eruption, ectopic eruption, crowding, abnormal root formation, middle diastema, cystic lesions, rotation of adjacent teeth, or root resorption. A case of inverted mesiodens in a nine-year-old female patient, referred for evaluation of a supernumerary tooth by cone beam computed tomography (CBCT) is presented. In transaxial views, the included mesiodens was observed in an inverted position, located centrally on the alveolar bone ridge, in the palatine vestibule direction between the anterior nasal spine and the nasopalatine canal towards palatine. Its coronary portion was closely related to the nasal floor and its radicular portion has a palatal curvature. The use of volumetric imaging studies such as CBCT allow to assess the location and precise relationship of these teeth with the adjacent anatomical structures, enabling an adequate planning of aesthetic and orthodontic treatment.
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