To outline a technique for the extraction of mesiodens through the nasal cavities and discuss its advantages and disadvantages, as well as specific recommendations and possible complications.Patients and Methods: A retrospective study was conducted in which clinical records from March -December 2015 were screened for patients diagnosed with mesiodens. Patients were excluded if they presented disorders associated with increased prevalence of supernumerary teeth. To effectively compare the different treatment approaches used, a variety of data was collected with special emphasis on complications.Results: Nine patients (four male, five female; average age 10.4 ± 1.7 years) fulfilled the described inclusion and exclusion criteria.Data analysis revealed that there were no intra-operative complications, nor were complications reported upon follow-up for any of the utilised (classical and vestibular-nasal) approaches.
Conclusion:When applied under the correct circumstances, the here presented nasal approach technique improves various aspects for mesiodens extraction, including better visibility and facilitates the technique.