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Endodontic Treatment for a Mesiodens: A Case Report.
Navdeep Jethi1, Gopinder K Jugpal2, Jagmohan S Ghumman3
1Conservative Dentistry and Endodontics, Daswani Dental College and Research Centre, Kota, IND.
Cureus
|May 13, 2024
Summary
This study details a rare case of multiple mesiodens, a type of supernumerary tooth, preserved through endodontic therapy. The findings highlight a hereditary pattern and successful pain alleviation, maintaining the unique dental feature.
Area of Science:
- Dentistry
- Genetics
- Endodontics
Background:
- Mesiodens are supernumerary teeth typically found between maxillary central incisors.
- Their abnormal position often necessitates extraction, potentially causing midline diastema.
- Multiple mesiodens are termed mesiodentes.
Observation:
- A patient presented with mesiodentes and a strong desire to preserve them as a familial trait.
- Family history revealed a hereditary pattern of mesiodens across three generations.
- The mesiodens were impacted or partially erupted, causing aesthetic concerns.
Findings:
- Endodontic therapy, specifically root canal treatment, was successfully performed on the mesiodens.
- The treatment alleviated pain associated with the supernumerary teeth.
- The patient's desire to preserve the mesiodens was fulfilled.
Implications:
- This case demonstrates the successful endodontic preservation of mesiodens, challenging the conventional extraction approach.
- It highlights the potential for managing supernumerary teeth while respecting patient wishes and familial traits.
- Understanding the hereditary nature of mesiodens can inform dental management and genetic counseling.
