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Cone Beam Computed Tomography Evaluation of Inverted Mesiodentes

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A mesiodens is the most common type of supernumerary teeth. The purpose of this report is to present a rare occurrence of non-syndromic impacted inverted mesiodentes in an 8.5-year-old boy who presented with a chief complaint of delayed eruption of his permanent maxillary left central incisor. Occlusal and panoramic radiographs, as well as cone beam computed tomography (CBCT) with a three-dimensional (3-D) reconstruction image, confirmed that one supernumerary tooth had perforated the nasal fossa floor and the other was in close approximation to the to the same site. Surgical removal of both mesiodentes was indicated. Radiographic evidence of complete healing was observed 12 months following surgical removal. The use of CBCT with a 3-D reconstruction image as a tool in diagnosis and evaluation of healing after surgical removal is recommended.

Keywords: CONE BEAM COMPUTED TOMOGRAPHY; MESIODENS; PEDIATRIC DENTISTRY; SUPERNUMERARY TEETH

Document Type: Case Report

Affiliations: 1: Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia 2: Department of Maxillofacial Radiology, Faculty of Dentistry, Cairo University, Egypt; and assistant professor, Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia 3: Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia. [email protected]

Publication date: 01 May 2016

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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