Vertex occlusal radiography in localizing unerupted mesiodentes

Area of Science:

• Dentistry
• Radiology
• Oral and Maxillofacial Surgery

Background:

• Mesiodentes, the most common supernumerary teeth, can cause complications.
• Accurate localization is crucial for treatment planning.

Observation:

• An 8-year-old boy presented with a mesiodens identified via anterior maxillary occlusal radiography.
• Vertex occlusal radiography was employed for comparative analysis.

Findings:

• Vertex occlusal radiography provided enhanced visualization of mesiodens position and proximity to maxillary central incisors.
• It offered greater detail regarding the mesiodens' relationship with the long axis of the incisors.

Implications:

• Vertex occlusal radiography is a valuable diagnostic tool for mesiodens.
• Its use should be considered judiciously due to a higher radiation dose compared to intraoral methods.