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Management of Palatally Positioned Impacted Mesiodens: 2 Case Reports

By definition the extra teeth present in the oral cavity are the supernumerary teeth which are found in any area of the oral cavity. Sometimes Supernumerary teeth are present even in the anterior region of the maxilla which is called as mesiodens. Mesiodens are the most common supernumerary teeth, occurring in 0.15–1.9% of the population. The exact etiology of mesiodens is not fully understood, but proliferation of the dental lamina and genetic factors can be the reason. Mesiodens can be either paired or single, unerupted or impacted which can be unaesthetic and most of the time associated with complications like midline diastema, rotation, displacement, and root resorption and cyst formation. It should be properly diagnosed for the appropriate management to reduce the complications to the developing dentition. In the present cases mesiodentes were found in the anterior maxilla, one erupted and another unerupted and inverted in one case and unerupted causing resorption of root of permanent central incisor in another case. In these cases mesiodentes are prophylactically extracted to prevent its adverse effects on developing dentition.


Sachin A Gunda, Anand L Shigli, Anil T Patil, Bhargav S Sadawarte, Ankita R Hingmire and Priyanka A Jare

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