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Orthodontic-Surgical Management of Triple Impacted Mesiodens and Maxillary Incisors - A Case Report
K R Ashok Kumar1, S Varsha1, R Mahesh Kumar1
1Department of Oral and Maxillofacial Surgery, Sri Siddhartha Dental College and Hospital, Tumkur, Karnataka, India.
Rationale:
Mesiodens are supernumerary teeth located in the pre-maxilla between the two central incisors with a prevalence rate of 0.15-1.9%. An impacted mesiodens may cause delayed eruption of permanent incisors, ectopic eruption, pathological disturbances and malalignment of teeth.
Patient Concerns:
The patient complained of missing upper front teeth associated with pain in the same region for two weeks.
Diagnosis:
Upon clinical and radiographic examination, it was diagnosed as triple impacted mesiodens with impacted permanent maxillary central incisors.
Treatment:
The clinicians in the study approached the issue by surgical removal of the impacted mesiodens and orthodontic treatment for extrusion of the impacted permanent maxillary central incisors.
Outcomes:
The patient was relieved of the pre-operative concerns and followed up regularly for the eruption of permanent maxillary central incisors.
Take-Away Lessons:
The authors advocate the importance of timely diagnosis and proper management of such rare pathologies.
