Influence of mesiodens on adjacent teeth and the timing of its safe removal
- Author:
Majd BARHAM
1
;
Shunsuke OKADA
;
Miki HISATOMI
;
Abdullah KHASAWNEH
;
Nouha TEKIKI
;
Yohei TAKESHITA
;
Toshiyuki KAWAZU
;
Mariko FUJITA
;
Yoshinobu YANAGI
;
Junichi ASAUMI
Author Information
- Publication Type:Original Article
- From:Imaging Science in Dentistry 2022;52(1):67-74
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:To focus on the effects of the presence of mesiodens on adjacent teeth and to investigate the timing of its safe removal.
Materials and Methods:Cone-beam computed tomography examinations, obtained at Okayama University Hospital over a three-year period, were inspected. Data were recorded including the number of mesiodens; associated abnormalities; and the relationship with neighboring structures. Depending on multiple factors, the risk of developing complications due to early extraction of a mesiodens was divided into three categories: high, medium, and low risk.
Results:A total of 5,958 cone-beam computed tomography exams were obtained, 460 patients aged 3-85 years were diagnosed with a total of 568 mesiodens, 382 (67.3%) of which were discovered in young patients (age <10 years), and 333 (87.2%) of these were associated with abnormalities. Regarding the risk categories, 11 (1.9%) were considered to be in the high-risk, five (0.9%) in the medium-risk and 552 (97.2%) in the low-risk categories. Moreover, eight out of 11 high-risk mesiodens were extracted and no post-operative complications have been seen.
Conclusion:As the results showed that no postoperative complications were seen in all the extracted cases of high-risk mesiodens, this indicates the possibility of safe extraction at an early age which could reduce related future complications.
