Cone Beam Computed Tomography Evaluation of Inverted Mesiodentes.
A mesiodens is the most common type of supernumerary teeth. The purpose of this report is to present a rare occurrence of non-syndromic impacted inverted mesiodentes in an 8.5-year-old boy who presented with a chief complaint of delayed eruption of his permanent maxillary left central incisor. Occlusal and panoramic radiographs, as well as cone beam computed tomography (CBCT) with a three-dimensional (3-D) reconstruction image, confirmed that one supernumerary tooth had perforated the nasal fossa floor and the other was in close approximation to the to the same site. Surgical removal of both mesiodentes was indicated. Radiographic evidence of complete healing was observed 12 months following surgical removal. The use of CBCT with a 3-D reconstruction image as a tool in diagnosis and evaluation of healing after surgical removal is recommended.
Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Fares S
FS
Al-Sehaibany
Department of Maxillofacial Radiology, Faculty of Dentistry, Cairo University, Egypt; and assistant professor, Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Hazem M
HM
Marzouk
Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia. fsalama@ksu.edu.sa.
Fouad S
FS
Salama
D002648:Child; D054893:Cone-Beam Computed Tomography; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D011862:Radiography, Panoramic; D014096:Tooth, Supernumerary / Q000000981:diagnostic imaging* / Q000601:surgery