Transnasal Extraction of Mesiodens and Guided Eruption of Unusual Impacted Central Incisor: A Case Report and Review of Literature

Abstract

Mesiodens is one of the developmental problems in children and adolescents. Mesiodens is a supernumerary tooth in the midline between two central incisors which eventually causes poor aesthetics, food impaction, malocclusion and cyst formation. Here, authors presents a rare case of a 13-year-old male with unusual impacted inverted permanent maxillary left central incisor and horizontally placed mesiodens lying palatal to the permanent maxillary left central incisor. The patient presented with unerupted permanent upper left central incisor. Although most unerupted teeth require surgical removal, surgical-orthodontic treatment may be needed when maxillary incisors are involved due to the aesthetic impact. Surgical-orthodontic treatment aims at the complete alignment of natural teeth and does not require prosthetic intervention. This case report also reviews current literature on the treatment and multidisciplinary management of this problem. Early diagnosis and treatment are recommended to prevent any orthodontic and pathological complications.

Keywords

• inverted central incisor
• juxta nasal tooth
• platelet rich fibrin
• surgical-orthodontic treatment