IMPACTS OF MESIODENS IN A PEDIATRIC PATIENT: A CASE REPORT
Abstract
Hyperdontia is an anomaly characterized by the presence of supernumerary teeth, with the mesiodens located between the maxillary central incisors being the most common type in the anterior maxillary region. Although frequently asymptomatic, this ectopic tooth can cause various alterations such as delayed eruption, crowding, diastemas and occlusal disturbances. Its etiology is multifactorial, with a strong genetic influence, and early diagnosis is essential to prevent complications. This paper reports a clinical case of a child with a mesiodens, addressing its clinical and radiographic presentation, diagnosis, follow-up and treatment. The case serves as a basis to discuss current approaches and best practices in managing supernumerary teeth in pediatric patients.
Author Biographies
Uningá
Centro Universitário Ingá - UNINGÁ.
Centro Universitário Ingá - UNINGÁ.
References
1. Sivapathasundharam B. Shafer’s Textbook of Oral Pathology. 9. ed. New Delhi: Elsevier India; 2020. p. 868.
2. Altan H, Akkoc S, Altan A. Radiographic characteristics of mesiodens in a nonsyndromic pediatric population in the Black Sea region. Journal of Investigative and Clinical Dentistry. 2019;10(1):e12377 DOI: https://doi.org/10.1111/jicd.12377 DOI: https://doi.org/10.1111/jicd.12377
3. Talaat DM, et al. Assessment of risk factors and molecular biomarkers in children with supernumerary teeth: a single-center study. BMC Oral Health. 2022;22(1):117 DOI: https://doi.org/10.1186/s12903-022-02241-1 DOI: https://doi.org/10.1186/s12903-022-02151-z
4. Scully A, et al. Management of two cases with supernumerary teeth. Pediatric Dentistry. 2020;42(1).
5. Goksel S, et al. Evaluation of prevalence and positions of mesiodens using cone-beam computed tomography. Journal of Oral & Maxillofacial Research. 2018;9(4). DOI: https://doi.org/10.5037/jomr.2018.9401
6. Zhao L, et al. Analysis of the distribution of supernumerary teeth and characteristics of mesiodens in Bengbu, China: a retrospective study. Oral Radiology. 2021;37(2):218–223 DOI: https://doi.org/10.1007/s11282-020-00432-3 DOI: https://doi.org/10.1007/s11282-020-00432-3
7. Arandi NZ. Hyperdontia: exploring the developmental abnormality. Journal of Pre-Clinical and Clinical Research. 2020;1(1):1–6. DOI: https://doi.org/10.26444/jpccr/130372
8. Dias GF, et al. Diagnóstico e tratamento de dentes supranumerários na clínica infantil: relato de caso. Revista CEFAC. 2019;21(6):1–8.
9. Marchetti G, De Oliveira RV. Mesiodens – dentes supranumerários: diagnóstico, causas e tratamento. Uningá Review. 2015;24(1):1–6.
10. Rosa RF, et al. Propedêutica cirúrgica de mesiodens em paciente odontopediátrico. Brazilian Journal of Health Review. 2019;2(5):3957–3968. DOI: https://doi.org/10.34119/bjhrv2n5-004
11. Amaral DC, Gomes CC, Carvalho JG. Melhor oportunidade cirúrgica para remoção de dente supranumerário mesiodens em paciente infantil. Scientific Investigation in Dentistry. 2017;22(1):30–32. DOI: https://doi.org/10.29232/2317-2835.2017v22i1.p30-32
12. Soares KS, et al. Mesiodentes na dentição mista: relato de caso. Revista Odontológica de Araçatuba (Impr.). 2017;27–29.
13. Sandri J, Carvalho JMS, Conceição LS. Manejo odontológico em pacientes com mesiodens: revisão de literatura. JNT Facit Business & Technology Journal. 2021;1:120–128.
14. Fontenele AB, et al. Diagnóstico clínico e prevalência de mesiodens na infância: revisão de literatura. Brazilian Journal of Development. 2021;7(11):104375–104385 DOI: https://doi.org/10.34117/bjdv7n11-182 DOI: https://doi.org/10.34117/bjdv7n11-182
15. Kapusevska B, et al. The influence of etiological factors in the occurrence of diastema mediana. Prilozi. 2014;35(2):169–177. DOI: https://doi.org/10.2478/prilozi-2014-0022
16. Silva P, Pereira M, Gil G. Anomalias dentárias: agenesias e supranumerários – revisão bibliográfica. Bioscience Journal. 2024;40.
17. Arandi NZ, Abu-Ali A, Mustafa S. Supernumerary teeth: a retrospective cross-sectional study from Palestine. Pesquisa Brasileira em Odontopediatria e Clínica Integrada. 2020;20:e5057. DOI: https://doi.org/10.1590/pboci.2020.029
18. Pereira VX, et al. Um caso raro de quarto molar maxilar: relato de caso. Journal of Human Growth and Development. 2019;29.
19. Morais LA, et al. Diagnóstico e tratamento de dente supranumerário em paciente pediátrico: relato de caso. Archives of Health Investigation. 2024;13(5):1610–1615. DOI: https://doi.org/10.21270/archi.v13i5.6284
20. Althaqafi KG. A review on quality of life, personality factors and general psychological wellbeing in patients with hypodontia [Dissertação]; Makkah: Umm-Al-Qurra University; 2014.
21. Ghizoni DG, et al. Diastema x supranumerário: diagnóstico e planejamento. Uningá Review. 2016;28(3).
22. Vargas AMM, et al. Supernumerary teeth in pediatric patients: an updated scoping review. International Journal of Applied Dental Sciences. 2024;10(2):393–397 DOI: https://doi.org/10.22271/oral.2024.v10.i2f.1966 DOI: https://doi.org/10.22271/oral.2024.v10.i2f.1966
23. Kim Y, et al. Effects of mesiodens on adjacent permanent teeth: a retrospective study in Korean children based on cone-beam computed tomography. International Journal of Paediatric Dentistry. 2018;28(2):161–169 DOI: https://doi.org/10.1111/ipd.12317 DOI: https://doi.org/10.1111/ipd.12317
24. Kaul S, Kaushik N, Kaur N. Management of multiple mesiodens in mixed dentition period. International Journal of Oral Health Sciences. 2023;13(1):48–50 DOI: https://doi.org/10.4103/ijohs.ijohs_9_23 DOI: https://doi.org/10.4103/ijohs.ijohs_9_23
25. Senise R, et al. Os efeitos dos dentes supranumerários: complicações, diagnóstico e tratamento. Pró-UniverSUS. 2021;12(1):55–59. DOI: https://doi.org/10.21727/rpu.v12i2.3034
26. Urechescu H, Banu A, Streian F, Urtila F, Cuzic C, Dinu S, Pricop M. Intraoral approach through the nasal floor for surgical removal of inverted mesiodens: protocol and case series. Journal of Clinical Medicine. 22 dez 2024;13(24):7831. DOI: https://doi.org/10.3390/jcm13247831 DOI: https://doi.org/10.3390/jcm13247831
27. Shih WY, et al. Retrospective study of the characteristics and treatment modalities of mesiodens in Taiwanese children. Journal of Dental Sciences. 2022;17(1):160–165.
28. Barham M, et al. Influence of mesiodens on adjacent teeth and the timing of its safe removal. Imaging Science in Dentistry. 2022;52(2):74–86. DOI: https://doi.org/10.5624/isd.20210218
29. Kazanci F, Celikoglu M, Miloglu O, Yildirim H, Ceylan I. The frequency and characteristics of mesiodens in a Turkish patient population. European Journal of Dentistry. 2021 jul;5(3):361-65. DOI: https://doi.org/10.1055/s-0039-1698906
30. Patil S, Pachori Y, Kaswan S, Khandelwal S. Likhyani L, Maheshwari S. Frequency of mesiodens in the pediatric population in North India: a radiographic study. Journal of Clinical and Experimental Dentistry. 1 dez 2013;5(5):e223–e226 DOI: https://doi.org/10.4317/jced.51162 DOI: https://doi.org/10.4317/jced.51162
31. Shih WY, Hsieh CY, Tsai TP. Clinical evaluation of the timing of mesiodens removal. Chinese Medical Journal. Jun 2016;79(6):345–350 DOI: https://doi.org/10.1016/j.jcma.2015.10.013 DOI: https://doi.org/10.1016/j.jcma.2015.10.013
32. Gomes GV, Strelow TAT, Almeida SA. Ortodontia preventiva e interceptativa e suas contribuições para um bom desenvolvimento da oclusão do paciente em fase de dentição decídua e/ou mista: um estudo teórico. Journal of Business and Technology. 2020;14(2):74–86.
33. Pattanaik S, Patnaik S. An introduction to preventive orthodontics. Indian Journal of Public Health Research and Development. 2019;10(9):1590–1592. DOI: https://doi.org/10.5958/0976-5506.2019.02678.0
34. Simões RCB. Mesiodens: diagnóstico e tratamento integrado em paciente infantil [Monografia] Aracaju: Universidade Federal de Sergipe; 2023.
35. Gupta T, Sadana G, Rai HK. Effect of esthetic defects in anterior teeth on the emotional and social well-being of children: a survey. International Journal of Clinical Pediatric Dentistry. 2019;12(3):229–233 DOI: https://doi.org/10.5005/JP-journals-10005-1628 DOI: https://doi.org/10.5005/jp-journals-10005-1628
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