Clinical variations of double mesiodens: a review and case report


  • Judy Elena Villavicencio Universidad del Valle
  • Jesús Alberto Hernández-Silva Universidad del Valle
  • Sebastián Medina-Cárdenas Universidad del Valle



Dental anomalies, Supernumerary teeth, mesiodens


Supernumerary teeth are dental anomalies of number that, due to their prevalence, raise concerns among dentists, parents, and patients. They can occur isolated or associated with a syndrome and can lead to complications in eruption, occlusion, and patients’ appearance. Mesiodens are the most common type of supernumerary teeth and usually occur in the midline of the maxilla, between the two central incisors. Early diagnosis and prompt treatment of supernumerary teeth is important to prevent complications in permanent dentition. This article discussesthe clinical variations of mesiodens and reports three cases of fully-erupted double mesiodens.

= 182 veces | PDF (ESPAÑOL (ESPAÑA))
= 146 veces|


Download data is not yet available.


Metrics Loading ...

Author Biographies

Judy Elena Villavicencio, Universidad del Valle

DDM, Specialist in Pediatric Dentistry. Universidad Javeriana. Professor, School of Dentistry, School of Health, Universidad del Valle. Pediatric Dentistry and Maxillary Orthopedics Research Group, School of Dentistry, School of Health, Universidad del Valle

Jesús Alberto Hernández-Silva, Universidad del Valle

DDM, Specialist in Pediatric Dentistry and Maxillary Orthopedics, Universidad de Antioquia. Professor, School of Dentistry, School of Health, Universidad del Valle. Pediatric Dentistry and Maxillary Orthopedics Research Group, School of Dentistry, School of Health, Universidad del Valle.

Sebastián Medina-Cárdenas, Universidad del Valle

DDM, School of Dentistry, School of Health, Universidad del Valle. TEBLAMI Research Group, School of Basic Sciences, School of Health, Universidad del Valle


Giancotti A, Grazzini F, De Dominicis F, Romanini G, Arcuri C. Multidisciplinary evaluation and clinical management of mesiodens. J Clin Pediatr Dent 2002: 26; 223-237.

Meighani G, Pakdaman A. Diagnosis and management of supernumerary (mesiodens): a review of the literature. J Dent 2010; 7: 41-49.

Ramesh K, Venkataraghavan K, Kunjappan S, Ramesh M. Mesiodens: un estudio clínico y radiográfico de 82 dientes en 55 niños menores de 14 años. J Pharm Bioallied Sci 2013; 5: 60-62.

Salem G. Prevalence of selected dental anomalies in Saudi Children from Gizan region. Community Dent Oral Epidemiol 1989; 17: 162-163.

Huang WH, Tsai TP, Su HL. Mesiodens in the primary dentition stage: a radiographic study. J Dent Child 1992; 59: 186-189.

Cueto-Blanco S, Pipa-Vallejo A, González-García M, Pipa-Muñiz C, Álvarez-Álvarez I. Prevalencia de los dientes supernumerarios en la población infantil asturiana. Av Odontoestomatol; 29(3): 131-137.

Alencar M, Duarte D, Cury P, Bönecker M. Lower mesiodens: report of an unusual case. J Clin Pediatr Dent 2005; 29: 353-355.

Fardi A, Kondylidou-Sidira A, Bachour Z, Parisis N, Tsirlis A. Incidence of impacted and supernumerary teeth-a radiographic study in a North Greek population. Med Oral Patol Oral Cir Bucal 2011; 16: e56-e61.

Van Buggenhout G, Bailleul-Forestier I. Mesiodens. Eur J Med Genet 2008; 51: 178-181.

Alberti G, Mondani PM, Parodi V. Eruption of supernumerary permanent teeth in a sample of urban primary school population in Genoa, Italy. Eur J Paediatr Dent 2006; 7: 89-92.

Fernández-Montenegro P, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Retrospective study of 145 supernumerary teeth. Med Oral Patol Oral Cir Bucal 2006; 11: e339-e344.

Celikoglu M, Kamak H, Oktay H. Prevalence and characteristics of supernumerary teeth in a non-syndrome Turkish population: associated pathologies and proposed treatment. Med Oral Patol Oral Cir Bucal 2010; 15: e575-e578.

Ray D, Bhattacharya B, Sarkar S, Das G. Erupted maxillary conical mesiodens in deciduous dentition in a Bengali girl. A case report. J Indian Soc Pedod Prev Dent 2005; 23: 153-155.

Gallas MM, García A. Retention of permanent incisors by mesiodens: a family affair. Br Dent J 2000; 188: 63-64.

Contreras MA, Alaejos E, Buenechea R, Berini L, Gay-Escoda C. Mesiodens molariformes: a propósito de un caso. Anal Odontoestomatol 1995; 3: 103-105.

Sadano HO, Gorlin R. Familial occurrence of mesiodens. Oral Surg Oral Med Oral Pathol 1969; 27: 360-361.

Kaler LC. Prevalence of mesiodens in a pediatric Hispanic population. ASDCJ Dent Child 1988; 55: 137-138.

Castillo Kaler L. The incidence of mesiodens in children of Hispanic descent. J Pedod 1986; 10: 164-168.

Marya CM, Kumar BR. Familial occurrence of mesiodens with unusual findings: case reports. Quintessence Int 1998; 29: 49-51.

Shapira Y, Lieberman MA. Abnormally-shaped supernumerary maxillary incisors. Angle Orthod 1974; 44: 322-325.

Hernández M, Ferreira LP. Mesiodens múltiples sin antecedentes sindrómicos. A propósito de dos casos. J Am Dent Assoc (ed. esp.) 2009; 4: 140-144.

Gündüz K, Celenk P, Zengin Z, Sümer P. Mesiodens: a radiographic study in children. J Oral Sci 2008; 50: 287-291.

Salcido-García JF, Ledesma-Montes C, Henández-Flores F, Pérez D, Garcés-Ortiz M. Frecuencia de dientes supernumerarios en una población mexicana. Med Oral Patol Oral Cir Bucal 2004; 9: 403-409.

Ferrés-Pradó E, Prats-Armengol J, Ferrés-Amat E. A descriptive study of 113 unerupted supernumerary teeth in 79 pediatric patients in Barcelona. Med Oral Patol Oral Cir Bucal 2009; 14: E146-152.

Ranalli DN, Buzzato JF, Baum TW, Murphy SM. Long-term interdisciplinary management of multiple mesiodens and delayed eruption: report of a case. ASDC J Dent Child 1988; 55: 376-380.

Asaumi JI, Shibata Y, Yanagi Y, Hisatomi M, Matsuzaki H, Konouchi H et al. Radiographic examination of mesiodens and their associated complications. Dentomaxillofac Radiol 2004; 33: 125-127.

Ibricevic H, Al-Mesad S, Mustagrudic D, Al-Zohejry N. Supernumerary teeth causing impaction of permanent maxillary incisors: considerations of treatment. J Clin Pediatr Dent 2003; 27: 327-332.

Vosough Hosseini S, Moradzadeh M, Lofti M, Ala Aghbali A, Fattahi S. Dentigerous cyst associated with a mesiodens: a case report. J Dent Res Dent Clin Dent Prospects 2011; 5: 76-78.

Kalaskar RR, Kalaskar AR. Multidisciplinary management of impacted central incisors due to supernumerary teeth and associated dentigerous cyst. Contemp Clin Dent 2011; 2: 53-58.

Bhalla M, Datta P, Sharma S, Rohini C, Bhalla D. Dentigerous cyst involving mesiodens: a case report in 11 year child. Indian J Dent Educ 2012; 5: 29-33.

Orhan AI, Özer L, Orhan K. Familial occurrence of nonsyndromal multiple supernumerary teeth. A rare condition. Angle Orthod 2006; 76: 891-897.

Mitchel L, Bennet TG. Supernumerary teeth causing delayed eruption. A retrospective study. Br J Orthod 1992; 19: 4-46.

Leyland L, Batra P, Wong F, Llewelyn R. A retrospective evaluation of the eruption of impacted permanent incisors after extraction of supernumerary teeth. J Clin Pediatr Dent 2006; 30: 225-231.

Ashkenazi M, Greenberg BP, Chodik G, Rakocz M. Postoperative prognosis of unerupted teeth after removal of supernumerary teeth or odontomas. Am J Orthod Dentofacial Orthop 2007; 131: 614-619.

Cogulu D, Yetkiner E, Akay C, Seckin O, Alpoz R. Multidisciplinary management and long-term follow-up of mesiodens: a case report. J Clin Pediatr Dent 2008; 33: 63-66.

Taner TU, Uzamis M. Orthodontic treatment of a patient with multiple supernumerary teeth and mental retardation. J Can Dent 1999; 23: 195-200.

Lee Y, Chang SW, Perinpanayagam H, Yoo YJ, Lim SM, Oh SR et al. Autotransplantation of mesiodens for missing maxillary lateral incisor with cone-beam CT-fabricated model and orthodontics. Int Endod J 2014; 47(9): 896-904.



How to Cite

Villavicencio, J. E., Hernández-Silva, J. A., & Medina-Cárdenas, S. (2015). Clinical variations of double mesiodens: a review and case report. Revista Facultad De Odontología Universidad De Antioquia, 27(1), 216–227.

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.