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http://dx.doi.org/10.5624/isd.20210218

Influence of mesiodens on adjacent teeth and the timing of its safe removal  

Barham, Majd (Department of Oral and Maxillofacial Radiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University)
Okada, Shunsuke (Department of Oral Diagnosis and Dentomaxillofacial Radiology, Okayama University Hospital)
Hisatomi, Miki (Department of Oral Diagnosis and Dentomaxillofacial Radiology, Okayama University Hospital)
Khasawneh, Abdullah (Department of Oral and Maxillofacial Radiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University)
Tekiki, Nouha (Department of Oral and Maxillofacial Radiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University)
Takeshita, Yohei (Department of Oral and Maxillofacial Radiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University)
Kawazu, Toshiyuki (Department of Oral and Maxillofacial Radiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University)
Fujita, Mariko (Department of Oral and Maxillofacial Radiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University)
Yanagi, Yoshinobu (Department of Dental Informatics, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University)
Asaumi, Junichi (Department of Oral and Maxillofacial Radiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University)
Publication Information
Imaging Science in Dentistry / v.52, no.1, 2022 , pp. 67-74 More about this Journal
Abstract
Purpose: To focus on the effects of the presence of mesiodens on adjacent teeth and to investigate the timing of its safe removal. Materials and Methods: Cone-beam computed tomography examinations, obtained at Okayama University Hospital over a three-year period, were inspected. Data were recorded including the number of mesiodens; associated abnormalities; and the relationship with neighboring structures. Depending on multiple factors, the risk of developing complications due to early extraction of a mesiodens was divided into three categories: high, medium, and low risk. Results: A total of 5,958 cone-beam computed tomography exams were obtained, 460 patients aged 3-85 years were diagnosed with a total of 568 mesiodens, 382 (67.3%) of which were discovered in young patients (age <10 years), and 333 (87.2%) of these were associated with abnormalities. Regarding the risk categories, 11 (1.9%) were considered to be in the high-risk, five (0.9%) in the medium-risk and 552 (97.2%) in the low-risk categories. Moreover, eight out of 11 high-risk mesiodens were extracted and no post-operative complications have been seen. Conclusion: As the results showed that no postoperative complications were seen in all the extracted cases of high-risk mesiodens, this indicates the possibility of safe extraction at an early age which could reduce related future complications.
Keywords
Tooth, Supernumerary; Cone-Beam Computed Tomography; Tooth Extraction;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Altan H, Akkoc S, Altan A. Radiographic characteristics of mesiodens in a non-syndromic pediatric population in the Black Sea region. J Investig Clin Dent 2019; 10: e12377.   DOI
2 Kim Y, Jeong T, Kim J, Shin J, Kim S. Effects of mesiodens on adjacent permanent teeth: a retrospective study in Korean children based on cone-beam computed tomography. Int J Paediatr Dent 2018; 28: 161-9.   DOI
3 Primosch RE. Anterior supernumerary teeth - assessment and surgical intervention in children. Pediatr Dent 1981; 3: 204-15.
4 Asaumi JI, Shibata Y, Yanagi Y, Hisatomi M, Matsuzaki H, Konouchi H, et al. Radiographic examination of mesiodens and their associated complications. Dentomaxillofac Radiol 2004; 33: 125-7.   DOI
5 Arandi NZ, Abu-Ali A, Mustafa S. Supernumerary teeth: a retrospective cross-sectional study from Palestine. Pesqui Bras Odontopediatria Clin Integr 2020; 20: e5057.   DOI
6 Gunda SA, Shigli AL, Patil AT, Sadawarte BS, Hingmire AR, Jare PA. Management of palatally positioned impacted mesiodens: 2 case reports. J Orthod Endod 2017; 3: 100038.
7 Garvey MT, Barry HJ, Blake M. Supernumerary teeth - an overview of classification, diagnosis and management. J Can Dent Assoc 1999; 65: 612-6.
8 Alacam A, Bani M. Mesiodens as a risk factor in treatment of trauma cases. Dent Traumatol 2009; 25: e25-31.   DOI
9 Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Three-dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 403-11.   DOI
10 Mossaz J, Kloukos D, Pandis N, Suter VG, Katsaros C, Bornstein MM. Morphologic characteristics, location, and associated complications of maxillary and mandibular supernumerary teeth as evaluated using cone beam computed tomography. Eur J Orthod 2014; 36: 708-18.   DOI
11 Rajab LD, Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent 2002; 12: 244-54.   DOI
12 Meighani G, Pakdaman A. Diagnosis and management of supernumerary (mesiodens): a review of the literature. J Dent (Tehran) 2010; 7: 41-9.
13 Nam OH, Lee HS, Kim MS, Yun KH, Bang JB, Choi SC. Characteristics of mesiodens and its related complications. Pediatr Dent 2015; 37: E105-9.
14 Gunduz K, Celenk P, Zengin Z, Sumer P. Mesiodens: a radiographic study in children. J Oral Sci 2008; 50: 287-91.   DOI
15 Tyrologou S, Koch G, Kurol J. Location, complications and treatment of mesiodentes - a retrospective study in children. Swed Dent J 2005; 29: 1-9.
16 Gupta S, Marwah N. Impacted supernumerary teeth - early or delayed intervention: decision making dilemma? Int J Clin Pediatr Dent 2012; 5: 226-30.   DOI
17 Sholapurmath SM, Bharuka SB, Jasani B. Unerupted maxillary anterior supernumerary tooth - a surgical intervention. Indian J Dent Adv 2014; 6: 1578-82.
18 Shih WY, Hsieh CY, Tsai TP. Clinical evaluation of the timing of mesiodens removal. J Chin Med Assoc 2016; 79: 345-50.   DOI
19 Hyun HK, Lee SJ, Lee SH, Hahn SH, Kim JW. Clinical characteristics and complications associated with mesiodentes. J Oral Maxillofac Surg 2009; 67: 2639-43.   DOI
20 Nagata JY, Gomes BP, Rocha Lima TF, Murakami LS, de Faria DE, Campos GR, et al. Traumatized immature teeth treated with 2 protocols of pulp revascularization. J Endod 2014; 40: 606-12.   DOI
21 Lee J, Kim Y, Kim H, Nam S. The effect of early removal of mesiodens for the correction of central incisor rotation. J Korean Acad Pedtatr Dent 2014; 41: 64-71.   DOI
22 Maddalone M, Rota E, Amosso E, Porcaro G, Mirabelli L. Evaluation of surgical options for supernumerary teeth in the anterior maxilla. Int J Clin Pediatr Dent 2018; 11: 294-8.   DOI
23 Jung YH, Kim JY, Cho BH. The effects of impacted premaxillary supernumerary teeth on permanent incisors. Imaging Sci Dent 2016; 46: 251-8.   DOI
24 Koch H, Schwartz O, Klausen B. Indications for surgical removal of supernumerary teeth in the premaxilla. Int J Oral Maxillofac Surg 1986; 15: 273-81.   DOI
25 Omer RS, Anthonappa RP, King NM. Determination of the optimum time for surgical removal of unerupted supernumerary teeth. Pediatr Dent 2010; 32: 14-20.
26 Gurler G, Delilbasi C, Delilbasi E. Investigation of impacted supernumerary teeth: a cone beam computed tomography (CBCT) study. J Istanb Univ Fac Dent 2017; 51: 18-24.
27 Scarfe WC, Farman AG. What is cone-beam CT and how does it work? Dent Clin North Am 2008; 52: 707-30.   DOI