Inverted mesiodens in pediatric dentistry patient. Presentation of a case

Abstract

Introduction: The term ''Mesiodens'' is used to refer to supernumerary teeth, which are located in the upper jaw in the midline. When these fail to erupt naturally and remain included in the maxilla, they can cause alterations in the eruption of permanent teeth and in turn cause significant problems in the development of adequate dentition. Objective: The objective of this case is to determine the need for extraction of a mesiondens in a child patient, and its long-term management. Case presentation: 4-year-old female patient who goes to the CLIO of the Autonomous University of Zacatecas requesting dental care. Clinical examination revealed the presence of caries in multiple primary teeth, which underwent pulp and restorative therapy. As a radiographic finding, the presence of an inverted supernumerary tooth in the apical position of OD 51 and 61 was recorded. Due to its proximity to the immature germs of the permanent organs, as well as the young age of the patient, it was decided to follow up clinically/ radiographic in order to perform a less invasive treatment to minimize sequelae of extensive surgical exposure. It is intended to wait for a greater maturation of the germs or a more coronal position of the same. Conclusion: The treatment of choice for mesiodens is dental extraction, and the opportune diagnosis allows to take an adequate planning to carry out the procedure in the least traumatic conditions possible.