Diagnosis and treatment of delayed eruption because of mesiodens: case report

Authors

  • Judith Mollo López
  • Janeth Lilian Flores Ramos
  • Huber Claros Averanga
  • Mayra Rossio Condori Espinoza

DOI:

https://doi.org/10.52428/20756208.v14i35.481

Keywords:

Supernumerary Tooth, Mesiodens, Delayed Eruption

Abstract

Supernumerary teeth are a very common developmental problem in children. The mesiodens is a supernumerary tooth that is in the midline between central incisors. Its etiology is not totally clear, although the dental lamina hyperactivity is considered as a determining factor. Among the complications that mesiodens can cause are: delay in eruption, ectopic eruption, rotation of the permanent incisors and diastema in the m id line which alters the occlusion and therefore the aesthetics. Otherfindings that are believed to be due to the presence of su pernumera ry teeth are the reabsorption of the root of permanent teeth, formation of cysts, and eruption of the supernumerary tooth in the nasal cavity. Therefore, it is important that the clinician diagnoses the mesiodens promptly to allow optimal but minimal treatment, which consists in the surgical removal of the supernumerary tooth. The timely intervention not only prevents malocclusion but also the time necessary for correcting orthodontics.

The objective ofthis work is to inform about the surgical and orthodontic approach of a male patient of 8 years, for the treatment of a supernumerary tooth and the absence of the right central incisor. In conclusion, the presence of a mesiodens produces the delay of the eruption of the upper incisors, a sign that should alert us for a diagnosis and timely treatment.

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References

MORGADO D y GARCIA A. Factores de riesgo de alteraciones cron016gicas de la erupci6n dentaria en la poblaci6n del municipio Baraguå, Ecuador MEDICIEGO; 2013; 19 (Supl. 1)

SURI L. , GAGARI E. y VASTARDIS H. (2004). Delayed tooth eruption: Pathogenesis, diagnosis, and treatment. A literature review. Boston, USA: Am J Orthod Dentofacial Orthop (126) 432-45. DOI: https://doi.org/10.1016/j.ajodo.2003.10.031

OBREGÖN T, SOSA H, MATOS A y DIAZ C. Orden y cronologfa de brote en dentici6n permanente. Cuba: Rev. Ciencias Médicas; 2013;

GAY ESCODA C y BERINI AYTÉs L. Tratado de Cirugfa Bucal. Tomo l. Madrid: Ergon; 2004.

MANUJA N, NAGPAL R, SINGH M y CHAUDHARY S. Management of Delayed Eruption of Permanent Maxillary Incisor associated with the Presence of Supernumerary Teeth: A Case Report. India: International Journal of Clinical Pediatric Dentistry;

CONTRERAS M. et al. Mesiodens: concepto, evaluaci6n clinica, diagn6stico y tratamiento. Espaäa: Rev. Anales de Odontoestomatologia - 4/96

PRIMOSCH RE. Anterior supernumerary teeth-assessment and surgical intervention in children. USA: Pediatr

URSI WJS, ALMEIDA RR y ALMEIDA JV. Mesiodens, macrodontia e maoclusao: relato de caso clinico. Brasil: Revista De Odontologia Da Universidade De Säo Paulo. January 01, 1988; 2(2):109-14.

PATCHETT C, CRAWFORD D, CAMERON A y STEPHENS C. The Management of Supernumerary teeth in childhood - a retrospective study of practice in Bristol Dental Hospital-England and Westmead Dental Hospital, Sydney, Australia. England: Int J Paediatric Dent. 2001;11:259-265. DOI: https://doi.org/10.1046/j.1365-263X.2001.00282.x

CRUZ E. Clasificaci6n de dientes supernumerarios: revisi6n de literatura. Rev. estomatol. 2014; 22(1):38-42. DOI: https://doi.org/10.25100/re.v22i1.5773

CICCALÉ A, ABLAN L y GARCIA T. Retensi6n de incisivos centrales superiores como consecuencia de la presencia de Dientes Supernumerarios. Venezuela: Revista Odont016gica de los Andes; 2007 Merida Vol. 2.

SHIH W, HSIEH CH y TSAI T. Clinical evaluation of the timing of mesiodens removal. China: Journal of the Chinese Medical Association; 2016; 79: 345-350. DOI: https://doi.org/10.1016/j.jcma.2015.10.013

CÅCERES S, CARMONA L y VIOLA M. Dientes supernumerarios relacionados con retenci6n de incisivos centrales permanentes superiores. Colombia: Rev. cienc. biomed. 2013;4(2):345-352.

MANUJA N, NAGPAL R, SINGH M y CHAUDHARY S. Management of Delayed Eruption of Permanent Maxillary Incisor associated with the Presence of Supernumerary Teeth: A Case Report. India: International Journal of Clinical Pediatric Dentistry;

SOLARES R. The complications of late diagnosis of anterior supernumerary teeth: A case report. Mexico: ASDC J Dent Child;

HOGSTRUM Ay ANDERSSON L. Complications related to surgical removal of anterior supernumerary teeth in children. Suecia: J Dent Child. 1987;

MITCHELL L y BENNETT TG. Supernumerary teeth causing delayed eruption: A retrospective study. England: Br J Orthod; 1992 DOI: https://doi.org/10.1179/bjo.19.1.41

Published

2019-04-30

How to Cite

Mollo López , J., Flores Ramos , J. L., Averanga, H. C., & Condori Espinoza, M. R. (2019). Diagnosis and treatment of delayed eruption because of mesiodens: case report. Revista De Investigación E Información En Salud, 14(35), 23–39. https://doi.org/10.52428/20756208.v14i35.481

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