A CASE SERIES STUDY OF MESIODENS AMONG CHILDREN-İstanbul Üniversitesi Diş Hekimliği Fakültesine Başvuran Mesiodensi Olan Çocukların Vaka Serisi

Alp SARUHANOĞLU, Nazlı ALTIN, Sertan ERGUN, Hakkı TANYERİ
1.394 302

Abstract


ABSTRACT

Purpose: Supernumerary tooth is one of the developmental problems in children. Supernumerary tooth present in the midline of the maxilla is called “mesiodens”. Mesiodens present classical oral complication such as impaction of adjacent teeth, crowding, diastema formation, rotation, displacement of teeth, and occlusal interference. The treatment modality is removal of mesiodens and further observation till the permanent incisors erupt. The aim of this study is to evaluate the epidemiological characteristics of mesiodens, with an analysis of the associated clinical-eruptive complications.

Materials and Methods: Thirty two patients with mesiodens were included in the present study. Radiological examination, age, sex distribution, number of mesiodens per patient, shape, size, direction of the eruption and the relationship with permanent incisors were documented.

Results: The results showed that males were affected approximately 3.5 times more than females; most of the mesiodens were conical in shape (67.56%) where as the rest the others were tuberculate (32.44%). Of the 32 children, 27 (84.37%) had one mesiodens and 5 (15.63%) had two mesiodens bilaterally to midline.12 mesiodens out of 37 (32.44%) were fully impacted. The most common complication caused by mesiodens was delayed eruption of the permanent incisors and there were 14 cases (43.75%) in such condition.

Conclusion: Mesiodens as the most prevalent form of supernumerary teeth in permanent dentition is not a rare condition. Extraction of mesiodens in the early mixed dentition helps spontaneous alignment of the permanent dentition in childhood.

Keywords: Supernumerary tooth, mesiodens, midline

ÖZ

Amaç: Artı dişler çocuklarda gelişimsel bir problem olarak ortaya çıkmaktadır. Maksilla orta hat civarında bulunan artı dişler mesiodens olarak tanımlanır. Mesiodensin komplikasyonları arasında çevredeki daimi dişin gömülü olarak kalması ve/veya sürmemesi, diestema oluşumu, dişlerde rotasyon, yer değişikliği ve okluzyon problemleridir. Tedavisi mesiodensin çekimi ve daimi dişin sürmesine kadar takiptir. Bu çalışmanın amacı mesiodenslerin epidemiyolojik karakterlerinin değerlendirilmesidir.

Gereç ve Yöntem: Çalışmaya mesiodensi olan 32 çocuk hasta dahil edilmiştir. Radyolojik muayene,yaş, cinsiyet, hastalardaki mesiodens sayısı, şekli, boyutu, sürme yolu ve daimi kesici dişler ile ilişkileri kaydedilmiştir.

Bulgular: Çalışma sonuçlarına göre erkek çocuklarda mesiodens görülme sıklığı kız çocuklara oranla 3.5 kat daha fazladır. En sık görülen mesiodens şekli konik mesiodens (%67.56) olup diğer mesiodensler tüberkül şekillidir (%32.44). Çalışmaya dahil edilen 32 çocuğun 27’sinde (%84.37) bir mesiodens belirlenmiş kalan 5 (%15.63) çcuk hastada ise bilateral 2 mesiodense rastlanmışı. Çlışadaki 37 mesiodensten 12’si (%32.44) tamamen göütü. Hastalar arasıda en sı göüen komplikasyon, 14 vakada göümüşolan daimi keser dişerin süme gecikmesidir.

Sonuç: Erken karışık dişlenme döneminde mesiodenslerin çekimi çocukluk dönemindeki daimi dişlerin sürme ve sıralanma problemlerini ortadan kaldırmaktadır.

Anahtar kelimeler: Artı diş, mesiodens, orta hat


Keywords


Supernumerary tooth, mesiodens, midline

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DOI: http://dx.doi.org/10.17096/jiufd.84111

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Corresponding Author: Alp SARUHANOĞLU Department of Oral and Maxillofacial Surgery Faculty of Dentistry Istanbul University 34093 Çapa, Istanbul, TURKEY Phone: 00905326312000 e-mail:saruhanoglualp@yahoo.com




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