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A comparative analysis of patients with mesiodenses: a clinical and radiological study

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À̼º¼® ( Lee Sung-Suk ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
±è¼ö°ü ( Kim Su-Gwan ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
¿ÀÁö¼ö ( Oh Ji-Su ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
À¯Àç½Ä ( You Jae-Seek ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
Á¤°æÀΠ( Jeong Kyung-In ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
±è¿µ±Õ ( Kim Young-Kyun ) - Seoul National University Bundang Hospital Section of Dentistry Department of Oral and Maxillofacial Surgery
ÀÌ»óÈ£ ( Lee Sang-Ho ) - Chosun University School of Dentistry Department of Pediatric Dentistry
À̳­¿µ ( Lee Nan-Young ) - Chosun University School of Dentistry Department of Pediatric Dentistry

Abstract


Objectives: A mesiodens appears most commonly as a supernumerary tooth impacted in the anterior maxilla. The purpose of this study is analyze mesiodens clinically.

Materials and Methods: Gender, crown form, direction of impaction, relation to permanent incisors, and chief complaints of patients with extracted mesiodens were analyzed.

Results: Patients were analyzed for motivation to visit the hospital; 85.4% of the patients were referred from other hospitals. Mesiodens was more common in males than in females (3.7:1), and 70.1% of patients had only one mesiodens, while 29.6% had two mesiodenses. Of the mesiodenses, 61.4% were of the aconical form, and the most common direction was upward (62.4%), followed by the normal position (26.0%) and the horizontal position (11.6%). The mesiodenses caused orthodontic problems with the permanent incisors in 46.3% of cases. Mesiodens associated with dentigerous cyst was rarely observed in our patient group.

Conclusion: Mesiodens is more common in males than in females and often affects the permanent incisors. Thus, careful clinical and radiological evaluations of mesiodenses are important.

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Supernumerary tooth; Tooth abnormalities

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