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Mesiodens: A Hospital Based Study.
Senchhema Limbu1, Parajeeta Dikshit1, Sujaya Gupta1
1Kantipur Dental College Teaching Hospital and Research Centre, Basundhara Kathmandu, Nepal.
This study analyzed radiographic characteristics and management of mesiodens (supernumerary teeth) in children. Most mesiodens were erupted, conical, and palatally placed, with surgical extraction being the primary management.
Area of Science:
- Pediatric Dentistry
- Dental Radiology
- Maxillofacial Development
Background:
- Mesiodens are the most common supernumerary teeth, typically found in the anterior maxilla.
- Understanding their radiographic features and management in children is crucial for dental professionals.
Purpose of the Study:
- To investigate the radiographic characteristics of mesiodens in children.
- To document the management strategies employed for mesiodens in a hospital setting.
Main Methods:
- A retrospective cross-sectional study analyzed dental records of children from December 2015 to December 2016.
- Radiographic features (number, shape, position, crown direction) and complications were recorded.
- Data were analyzed using IBM SPSS v.20.0.
Main Results:
- Of 1871 records, 40 children had 53 mesiodens (3:1 male:female ratio), often discovered around age 8.
- The majority were erupted, conical, palatally placed, and vertically directed.
- Complications included crowding, diastema, and delayed eruption; management was mainly surgical extraction.
Conclusions:
- Periodic radiographic monitoring is essential for detecting and managing mesiodens in pediatric patients.
- Early detection aids in timely intervention and prevention of associated complications.
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