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Mesiodens: a radiographic study in children
Kaan Gündüz1, Peruze Celenk, Zeynep Zengin
1Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey. kgunduz@omu.edu.tr
Journal of Oral Science
|September 27, 2008
Summary
Mesiodens, an extra tooth in the midline, is a common dental anomaly in children. This study analyzed its frequency and complications in Turkish pediatric patients, finding delayed incisor eruption and midline diastema as frequent issues.
Area of Science:
- Dentistry
- Oral Radiology
- Pediatric Dentistry
Background:
- Mesiodens, a supernumerary tooth in the maxillary midline, is the most common type of odontoma.
- Understanding its prevalence and associated complications is crucial for pediatric dental care.
Purpose of the Study:
- To determine the frequency and radiological characteristics of mesiodens in a Turkish pediatric population.
- To identify complications associated with mesiodens, such as delayed eruption and dental anomalies.
Main Methods:
- Retrospective radiographic analysis of 23,000 pediatric patients (2003-2005).
- Inclusion criteria: presence of unerupted supernumerary tooth in the maxillary midline.
- Data collected: patient demographics, mesiodens number, shape, position, complications, and treatment.
Main Results:
- Eighty-five mesiodentes were identified in 69 pediatric patients (2.1:1 male to female ratio).
- Most mesiodentes were single (76.8%), fully impacted (78.8%), and in a vertical position (55.2%).
- Common complications included delayed permanent incisor eruption (38.8%) and maxillary midline diastema (17.6%).
Conclusions:
- Mesiodens is a notable finding in pediatric dental radiology, with significant implications for permanent tooth development.
- Radiological assessment is key to identifying mesiodens and its potential complications, guiding timely intervention.
- The prevalence aligns with previous estimates, emphasizing the need for awareness in routine pediatric dental examinations.
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