Surgical Approach to Bilateral Impacted and Inverted Mesiodentes in a Nonsyndromic Pediatric Patient: A Case Report and Brief Literature Review

Supernumerary teeth (ST) are a form of abnormal dental development and may not always present with symptoms. This case report discusses an eight-year-old child who presented with spacing in the maxillary anterior region. Radiographic examination revealed bilateral impacted and inverted mesiodentes, which were successfully managed through surgical extraction and orthodontic treatment. The postoperative course was uneventful, resulting in satisfactory outcomes for both the patient and his parents. We emphasize the importance of periodic check-ups during the early stages of tooth exfoliation, including proactive clinical and radiographic evaluations for the early diagnosis and management of multiple ST. Along with a review of the literature, this report suggests that a timely surgical approach should be indicated to effectively address the patient's condition, ensuring optimal outcomes with minimal intervention.

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Publication Details

Journal
Cureus
Published
2025-03-20
DOI
https://doi.org/10.7759/cureus.80926
Primary Topic
Oral and Maxillofacial Pathology
Type
article
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article

Surgical Approach to Bilateral Impacted and Inverted Mesiodentes in a Nonsyndromic Pediatric Patient: A Case Report and Brief Literature Review

Quang V Dang, Vinh Q. Dang, Nguyễn Thị Trang Nhung
Cureus
Oral and Maxillofacial Pathology
article

Surgical Approach to Bilateral Impacted and Inverted Mesiodentes in a Nonsyndromic Pediatric Patient: A Case Report and Brief Literature Review

Quang V Dang, Vinh Q. Dang, Nguyễn Thị Trang Nhung
article en

Abstract

Supernumerary teeth (ST) are a form of abnormal dental development and may not always present with symptoms. This case report discusses an eight-year-old child who presented with spacing in the maxillary anterior region. Radiographic examination revealed bilateral impacted and inverted mesiodentes, which were successfully managed through surgical extraction and orthodontic treatment. The postoperative course was uneventful, resulting in satisfactory outcomes for both the patient and his parents. We emphasize the importance of periodic check-ups during the early stages of tooth exfoliation, including proactive clinical and radiographic evaluations for the early diagnosis and management of multiple ST. Along with a review of the literature, this report suggests that a timely surgical approach should be indicated to effectively address the patient's condition, ensuring optimal outcomes with minimal intervention.

CureusVol. 17(3)
Can Tho University (VN)
Gender equality
Openalex Percentile: Top 92%
Oral and Maxillofacial Pathology
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