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Published on: February 23, 2024
Effects of mesiodens on adjacent permanent teeth: a retrospective study in Korean children based on cone-beam
Yuhyun Kim1, Taesung Jeong1, Jiyeon Kim1
1Department of Pediatric Dentistry, School of Dentistry, Institute of Transitional Dental Sciences, Dental Research Institute, Pusan National University, Yangsan, Korea.
Background:
Mesiodens can be associated with several complications. The optimal age for treatment, however, remains controversial.
Aim:
To investigate the three-dimensional (3D) positions of mesiodens using cone-beam computed tomography (CBCT) and determine the association of eruption-related complications of mesiodens with these 3D positions and delayed development of the central incisors.
Design:
In total, 293 Korean children (383 supernumerary teeth) aged 4-10 years with no history of orthodontic treatment were included. CBCT and panoramic radiography data for all patients were retrospectively investigated with regard to the 3D positions of mesiodens, apical maturity of the permanent first molars, delayed development of the central incisors relative to the apical maturity of the permanent first molars (Nolla's stage), and eruption-related complications of mesiodens.
Results:
Eruption-related complications were not correlated with any 3D characteristic other than the 'within the arch' position of mesiodens, while they showed a significant correlation with delayed development of the central incisors (P < 0.05).
Conclusions:
Mesiodens caused eruption-related complications in 33.7% patients. Moreover, the risk of these complications was higher when mesiodens caused delayed development of the central incisors. These findings can aid clinicians in planning appropriate and timely treatment for mesiodens, with focus on minimising patient discomfort.
