Rare Representation of Three Mesiodentes: A Supernumerary Challenge

Abstract

Supernumerary teeth are commonly occurring anomaly which is characterised by the presence of additional teeth compared to the conventional dentition. Mesiodens is the most typical supernumerary tooth, located within the premaxilla between the two central incisors. Mesiodentes is seen in a rare condition when mesiodens erupt in multiple numbers. The etiology behind its incidence is obscure and numerous; however the foremost accepted theory is the hyperactivity of the dental lamina. The prevalence varies from 0.15 to 1.9%. Mesiodens may be eumorphic (resembling natural teeth) or dysmorphic (conical, tuberculate, or molariform), single or multiple, impacted or erupted and at times even inverted, placed labially, palatally or in between the maxillary central incisors, isolated or associated with syndromes. Complications related to the presence of mesiodens might embody impaction or delayed eruption of permanent teeth, swallowing and speech, impaired dentofacial aesthetics, and generally cyst formation. Identification is sometimes done by clinical and radiological examination. To avoid future complication, early extraction is the treatment of choice. Here, we report a rare case of triple mesiodentes in a non-syndromic patient that are in line with the central incisors causing malocclusion, and unaesthetic appearance.

Keywords: Developmental anomaly, maxilla, mesiodens, triple mesiodentes

Cite this Article

Brijesh Tailor, Anshula Deshpande, Seema Bargale et al. Rare Representation of Three Mesiodentes: A Supernumerary Challenge. Research & Reviews: A Journal of Dentistry. 2017; 8(2): 21–25p.