The clinical representation and outcome of a 40-year mesiodens

doi:10.3877/cma.j.issn.1674-1366.2015.06.012

Chinese Journal of Stomatological Research(Electronic Edition) ›› 2015, Vol. 09 ›› Issue (06): 497-500. doi: 10.3877/cma.j.issn.1674-1366.2015.06.012

Special Issue: ；；

• Case Report • Previous Articles Next Articles

The clinical representation and outcome of a 40-year mesiodens

Qifen He¹, Chunyang Li¹^,^†()

^1. Department of Stomatology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China

Received:2015-08-11 Online:2015-12-01 Published:2015-12-01
Contact: Chunyang Li
About author:
Corresponding author: Li Chunyang, Email: lichyang@mail.sysu.edu.cn

Abstract

Abstract:

Objective

To show the long term destroying power of an embedded mesiodens and its outcome.

Methods

A rare and uncommon case happened in a 47-year-old female with mesiodens was reported. The periodontal-endodontic combined lesions in right central incisor, triangular gap between the two central incisors and right lateral incisor caused by a vertical but inverted labially located mesiodens with a dentigerous cyst were diagnosed by clinical examination and radiograph. Periodontal-endodontic treatment, cystectomy, extraction and follow-up of the embedded mesiodens were done. The related literatures were reviewed.

Results

The long-term damage on the adjacent tissues caused by the embedded mesiodens could not be reversed. The proper treatments can improve periodontal status to a certain extent. This 47-year female is the eldest patient with mesiodens that has ever reported.

Conclusion

This rare case provided evidence to support that early discovery and intervention are needed for embedded mesiodens. It concluded that the destroying power of mesiodens could last for long time.

Key words: Mesiodens, Dentigerous cyst, Periodontal-endodontic combined lesion

Qifen He, Chunyang Li. The clinical representation and outcome of a 40-year mesiodens[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2015, 09(06): 497-500.

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Figures/Tables 6

References 14

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