Abstract:
Mesiodenses are tooth-like structures which occur in maxillary
midline and have the major ratio of the supernumerary teeth.
They are related to several syndromes, however may occur
on healthy individuals, as well. They may be unerupted or
erupted, in vertical, horizontal or inverted positions. They
may lead to several complications such as root resorption
of adjacent teeth, crowding, diastema and cyst formation
whereas they may remain both asymptomatically and
unnoticed for a lifetime. Unerupted mesiodenses are needed
to be extracted if they cause any complications. However,
unnecessary extractions of asymptomatic mesiodenses
should be avoided, considering possible damages on adjacent
teeth and anatomic structures. In routine dental practice,
mesiodenses may be misdiagnosed due to the using of
two dimensional radiographies. Nowadays, by means of
three dimensional imaging methods such as CBCT, the
morphology, location, relationship with anatomical structures
of mesiodense and any pathology related with them can be
identified precisely. Therefore, it can be easier to decide
whether a surgical operation is needed in terms of profit/loss
balance. The aim of this case report is to present a double inverted mesiodenses diagnosed using CBCT in a 61-year old female patient, which reported in a small number of cases
in the literature
