Fusion of Unerupted Mesiodens with a Regular Maxillary Central Incisor: a Diagnostic and Therapeutic Challenge

Šarac, Zdenko; Zovko, Ružica; Cvitanović, Stipo; Goršeta, Kristina; Glavina, Domagoj

doi:10.15644/asc55/3/10

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…The authors continue to maintain long-term follow-up, including radiographic examination. In addition, most of the previous reports highlighted the importance of a multidisciplinary approach facilitate to the successful treatment of this dental abnormality [21,29,31,33,37,38,44,45]. The authors make a plan to cooperate with specialists, such as orthodontics, periodontics, endodontics, and prosthodontics, in multiple fields the in future if necessary.…”

Section: Prognosismentioning

confidence: 99%

Fusion of a Tooth with a Supernumerary Tooth: A Case Report and Literature Review of 35 Cases

Akitomo,

Kusaka,

Usuda

et al. 2023

Children

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Tooth fusion is a dental anomaly with a prevalence of 0.1% in permanent dentition. The aim of this paper is to present the occurrence, region of fusion, and prognosis of fused tooth which is a very rare case in the literature. The authors present a very rare case with a maxillary right lateral incisor fused to a supernumerary tooth on the palatal side. The eruption was delayed, but eruption occurred naturally at 9 years and 6 months. However, cone-beam computed tomography at 11 years and 6 months revealed it was diagnosed as a fused tooth. The authors undertook a literature review over the past 10 years and found 30 articles about fused teeth between permanent teeth and supernumerary teeth. It was more common in males than females and there were no differences depending on the occurrence. Mesiodistal fusion was more common in the incisor region, while labiopalatal fusion was more common in the molar region. Most cases required dental treatment with a surgical approach, root canal treatment, or orthodontic treatment. The present study highlights the importance of long-term follow-up and suggests the region of fusion and prognosis of the fused tooth may vary depending on the occurrence.

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Section: Prognosismentioning

confidence: 99%

Fusion of a Tooth with a Supernumerary Tooth: A Case Report and Literature Review of 35 Cases

Akitomo,

Kusaka,

Usuda

et al. 2023

Children

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“…The surface was polished to give morphology. Finally, a submucosal periosteal graft was prepared in the interincisal papilla and sutured (10) Incision with a 15c scalpel in the upper part of the ridge, intrasulcularly and with relaxant in tooth 63, then total detachment was produced with the help of the syndesmotome until exposing the TNS. The three supernumerary elements were then dislocated with the aid of straight levers and extraction performed.…”

Section: Resultsmentioning

confidence: 99%

Surgical approach techniques for extraction of impacted or retained mesiodens: Literature review

González¹,

Torres²,

Calle³

2023

World J. Adv. Res. Rev.

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The mesiodens corresponds to a number anomaly of dental development, which is formed between the upper central incisors. It is diagnosed by radiographic examination and the precise therapeutic option is extraction. The aim of this study is to review the different surgical techniques used in the extraction of intraosseous mesiodens by means of a review of the literature. Methodology: The collection of information was carried out through the search and selection of articles related to surgical techniques for the extraction of intraosseous mesiodens in the electronic databases PubMed, Google Scholar and Journal of Dental Research. The selection criteria taken into account were: age not older than 5 years, key words, human studies, impacted or retained mesiodens. From a total of 113 articles, 17 were chosen that are in accordance with the criteria of this research. Results and Conclusions: The free hand surgical approach has good results, but the use of surgical guides improves patient satisfaction, reduces operative time and difficulty of surgery and facilitates more precise osteotomies and incisions, without unnecessary tissue damage resulting in a more satisfactory postoperative improvement.

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“…Careful treatment planning of impacted incisors is crucial for a favorable prognosis. It is always multidisciplinary as it requires the intervention of an orthodontist and an oral surgeon [6,16,39].…”

Section: Discussionmentioning

confidence: 99%

“…The most common obstructive cause is determined by supernumerary teeth (ST), 77.8% of the ST are found in the maxilla, and 97.2% are in the frontal region. In the anterior maxillary region, the presence of one or more supernumerary teeth along the midline (1.5% to 3.5%) hinders the eruption of the incisors (28% to 60%) [5,[12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report

et al. 2022

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The inclusion of both maxillary permanent central incisors is uncommon. This condition compromises face aesthetics, phonation and masticatory function. Therefore, early diagnosis is essential to avoid complications and failures. There are various reasons for inclusion, but supernumerary teeth are the leading cause. Early causes of removal and rapid expansion of the palate determine a high probability of success with the spontaneous eruption of the impacted elements. However, it is often necessary to proceed with a surgical–orthodontic treatment. The inclination of teeth in relation to the midline and the root maturation degree determine prognosis and therapeutic timing. In this case report, the orthopantomogram (OPG) X-ray of a 9-year-old boy revealed two impacted supernumerary teeth in the anterior maxillary region, preventing the eruption of the permanent upper central incisors. The impacted supernumerary teeth were surgically removed at different times. A straight wire multibrackets technique associated with a fixed palatal appliance was used. The palatal appliance featured an osteomucous resin support at the level of the retroincisal papilla. Subsequently, surgical exposure was carried out using the closed eruption technique and elastic traction, bringing 11 and 21 back into the arch.

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Fusion of Unerupted Mesiodens with a Regular Maxillary Central Incisor: a Diagnostic and Therapeutic Challenge

Cited by 4 publications

References 9 publications

Fusion of a Tooth with a Supernumerary Tooth: A Case Report and Literature Review of 35 Cases

Fusion of a Tooth with a Supernumerary Tooth: A Case Report and Literature Review of 35 Cases

Surgical approach techniques for extraction of impacted or retained mesiodens: Literature review

Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report

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