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Midline space closure in the mixed dentition: a case report
1Department of Pedodontics and Preventive Dentistry, A. B. Shetty Memorial Institute of Dental Sciences, Mangalore.
Summary
Supernumerary teeth, specifically mesiodens, can cause significant dental issues. This case report details the successful orthodontic treatment following mesiodens extraction to correct incisor misalignment.
Area of Science:
- Dentistry and Oral Health
- Orthodontics
- Developmental Dental Anomalies
Background:
- Supernumerary teeth are common dental anomalies, occurring in both primary and permanent dentitions, with a higher prevalence in the permanent dentition.
- These extra teeth can lead to various pathological disturbances, including impaction, delayed eruption, and malocclusion.
- Mesiodens, a supernumerary tooth located between the maxillary central incisors, is the most common type.
Observation:
- A case report involving a patient presenting with a mesiodens.
- The mesiodens was observed to cause flaring of the maxillary central incisors.
- The presence of the mesiodens impeded the normal eruption of the maxillary lateral incisors.
Findings:
- Surgical extraction of the mesiodens was performed.
- Following extraction, orthodontic therapy was initiated to manage the dental anomalies.
- Simple fixed orthodontic appliances were utilized for space closure and alignment correction.
Implications:
- Early diagnosis and intervention for supernumerary teeth like mesiodens are crucial for preventing complications.
- Orthodontic treatment is an effective method for resolving malocclusion and eruption disturbances caused by mesiodens.
- This case highlights the successful management of a mesiodens-induced anomaly through a combination of surgical and orthodontic approaches.