Influence of mesiodens on adjacent teeth and the timing of its safe removal.
Cone-Beam Computed Tomography
Tooth Extraction
Tooth, Supernumerary
Journal
Imaging science in dentistry
ISSN: 2233-7822
Titre abrégé: Imaging Sci Dent
Pays: Korea (South)
ID NLM: 101559249
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
25
08
2021
revised:
04
11
2021
accepted:
13
11
2021
entrez:
7
4
2022
pubmed:
8
4
2022
medline:
8
4
2022
Statut:
ppublish
Résumé
To focus on the effects of the presence of mesiodens on adjacent teeth and to investigate the timing of its safe removal. 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. 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. 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.
Identifiants
pubmed: 35387109
doi: 10.5624/isd.20210218
pmc: PMC8967489
doi:
Types de publication
Journal Article
Langues
eng
Pagination
67-74Informations de copyright
Copyright © 2022 by Korean Academy of Oral and Maxillofacial Radiology.
Déclaration de conflit d'intérêts
Conflicts of Interest: None
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