A CASE SERIES STUDY OF MESIODENS AMONG CHILDREN WHO PRESENTED TO ISTANBUL UNIVERSITY FACULTY OF DENTISTRY

Purpose: Supernumerary tooth is one of the developmental problems in children. Supernumerary tooth present in the midline of the maxilla is called “mesiodens”. Mesiodens present classical oral complication such as impaction of adjacent teeth, crowding, diastema formation, rotation, displacement of teeth, and occlusal interference. The treatment modality is removal of mesiodens and further observation till the permanent incisors erupt. The aim of this study is to evaluate the epidemiological characteristics of mesiodens, with an analysis of the associated clinical-eruptive complications. Materials and Methods: Thirty two patients with mesiodens were included in the present study. Radiological examination, age, sex distribution, number of mesiodens per patient, shape, size, direction of the eruption and the relationship with permanent incisors were documented. Results: The results showed that males were affected approximately 3.5 times more than females; most of the mesiodens were conical in shape (67.56%) where as the rest the others were tuberculate (32.44%). Of the 32 children, 27 (84.37%) had one mesiodens and 5 (15.63%) had two mesiodens bilaterally to midline. 12 mesiodens out of 37 (32.44%) were fully impacted. The most common complication caused by mesiodens was delayed eruption of the permanent incisors and there were 14 cases (43.75%) in such condition. Conclusion: Mesiodens as the most prevalent form of supernumerary teeth in permanent dentition is not a rare condition. Extraction of mesiodens in the early mixed dentition helps spontaneous alignment of the permanent dentition in childhood.