Surgical Management of a Supplemental Permanent Maxillary Tooth with Mesiodens in a Non-Syndromic Patient: A Case Report

Submit Manuscript | http://medcraveonline.com commonly seen in permanent dentition. The incidence of supernumerary teeth is 1-3% and approximately 90-98% of supernumerary teeth occur in the maxilla. Males are affected twice as frequently as females [1]. Mesiodens is the most frequently occurring supernumerary tooth located palatal to the central incisors and conical morphology was found to be most common [2]. Quite a few theories have been proposed to explain the occurrence of supernumerary teeth, including the phylogenetic theory [3], dichotomy theory [4,5], hyperactivity theory [6] and a combination of genetic and environmental factors. Supernumerary teeth are morphologically classified as supplemental or rudimentary [1]. Supplemental or eumorphic supernumerary teeth duplicate the typical anatomy of posterior and anterior teeth, whereas rudimentary supernumerary teeth are dysmorphic and can presume conical forms, tuberculate form, molariform or odontome. They can also be classified as single or multiple. The aim of this report is to present a nonsyndromic case of a 10 year old boy with a mesiodens associated with a unilateral supplemental permanent maxillary tooth and to emphasize the importance of early detection and diagnosis of multiple supernumerary teeth.