Managing Complications Related to Multiple Supernumerary Teeth
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초록
One or two mesiodens are mostly common to the clinician. However, three mesiodens is rarely found and cancause complications such as orthodontic problems or interruptions of the adjacent teeth with more than 1 or 2mesiodens. Many factors cause irregularities in the permanent dentition. Mesiodens, especially in the anterior maxilla,can disturb the eruption of adjacent permanent teeth and cause diastemas, ectopic eruptions, root resorption, orthe formation of dentigerous cysts. The early diagnosis of mesiodens is important for preventing such complications,and the timing of intervention should be based on their location and number. Periodic checkups and improveddiagnostic devices make it easy to find mesiodens and associated complications. In this case, 3 supernumerary teeth in the maxillary anterior region were affecting the eruption of the adjacentpermanent incisors. To minimize complications and preserve the deciduous teeth, the three supernumerary teethwere extracted in 2 steps. Since cone-beam computed tomography was not available, a brace wire was used to measure the depth of themesiodens.
Abstract
One or two mesiodens are mostly common to the clinician. However, three mesiodens is rarely found and cancause complications such as orthodontic problems or interruptions of the adjacent teeth with more than 1 or 2mesiodens. Many factors cause irregularities in the permanent dentition. Mesiodens, especially in the anterior maxilla,can disturb the eruption of adjacent permanent teeth and cause diastemas, ectopic eruptions, root resorption, orthe formation of dentigerous cysts. The early diagnosis of mesiodens is important for preventing such complications,and the timing of intervention should be based on their location and number. Periodic checkups and improveddiagnostic devices make it easy to find mesiodens and associated complications. In this case, 3 supernumerary teeth in the maxillary anterior region were affecting the eruption of the adjacentpermanent incisors. To minimize complications and preserve the deciduous teeth, the three supernumerary teethwere extracted in 2 steps. Since cone-beam computed tomography was not available, a brace wire was used to measure the depth of themesiodens.
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