Interdisciplinary management of mesiodens for aesthetic correction

Mesiodens, the most common type of supernumerary tooth, presents significant challenges in dental management due to its common occurrence in the midline between central incisors. This case report details the interdisciplinary management of a 22-year-old male patient with a mesiodens, who presented with concerns regarding spacing and the aesthetic appearance of his upper front teeth. Upon examination, a conically shaped mesiodens was identified between teeth 11 and 21, confirmed through orthopantomographic imaging. The treatment plan devised by an interdisciplinary team involved the surgical removal of the mesiodens, followed by orthodontic treatment aimed at space redistribution and alignment of the anterior region. Informed consent was obtained after meticulously explaining the treatment phases. The extraction was performed successfully, and subsequent orthodontic treatment involved the application of fixed mechanotherapy, utilizing 0.022 MBT brackets. Space redistribution was achieved with a stainless-steel arch wire, allowing for proper levelling and alignment of both arches. After treatment completion, the patient was referred to Prosthodontics for further rehabilitation. This comprehensive approach allowed for remarkable aesthetic enhancement and improvement in the patient's self-esteem. The case illustrates the critical importance of a multidisciplinary strategy in managing mesiodens to alleviate functional and aesthetic concerns, highlighting that early diagnosis and treatment can significantly enhance a patient’s oral health-related quality of life and psychological well-being. As such, this report emphasizes the need for awareness and proactive management of mesiodens in clinical practice.