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Inverted mesiodens--a case report.

S Nikhil1, Vineeta, P Gupta

  • 1Department of Pedodontics & Preventive Dentistry, DAV (C) Dental College & Hospital, Yamuna Nagar.

Journal of the Indian Society of Pedodontics and Preventive Dentistry
|June 23, 2000
PubMed
Summary
This summary is machine-generated.

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A rare inverted mesiodens, an upside-down supernumerary tooth, was discovered in a child during a routine dental exam. Surgical extraction was planned for this unique dental anomaly found between central incisors.

Area of Science:

  • Dentistry
  • Pediatric Dentistry
  • Oral and Maxillofacial Surgery

Background:

  • Supernumerary teeth are relatively common dental anomalies.
  • Mesiodens, a supernumerary tooth located in the midline of the palate, is the most common type.
  • Inverted mesiodens, though rare, can present diagnostic challenges.

Observation:

  • A 9.5-year-old female presented with swelling in the maxillary midline near the labial frenum.
  • Clinical examination showed both central incisors were present and in position.
  • Radiographic imaging revealed an unerringly positioned supernumerary tooth between the roots of the central incisors.

Findings:

  • The radiographic findings confirmed the presence of an inverted mesiodens.
  • The supernumerary tooth was located between the roots of the maxillary central incisors.

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  • Surgical extraction was indicated and planned for the anomaly.

    • Implications:

    • This case highlights the importance of radiographic examination in diagnosing dental anomalies, even when primary teeth appear normal.
    • Early detection and management of inverted mesiodens are crucial to prevent potential complications like delayed eruption or malocclusion.
    • Awareness of rare presentations of mesiodens aids clinicians in providing timely and effective pediatric dental care.