Mesiodens: a case report


  • Karina Giovanetti University of Campinas
  • Eder Alberto Sigua-Rodriguez University of Campinas
  • Larissa Pacheco University of Campinas
  • Evandro Portela-Figueiredo University of Maranhão
  • Jose Ricardo Albergaria-Barbosa University of Campinas



Maxilla, Supernumerary tooth, Abnormalities, Oral surgery


Mesiodens are supernumerary teeth, commonly seen in the maxillary midline. Given their high frequency, dentist should be aware of the signs and symptoms of mesiodens and their appropriate treatment. This case report describes an 8-year-old girl with a radiographic image suggesting two unerupted mesiodens between the central incisors on the palate. The intraoral examination showed swelling in the anterior palatal region with no mucosa alteration. The supernumerary teeth were diagnosed by periapical radiograph and computed tomography. The objective of this study is to present the clinical importance and use of diagnostic images, such as periapical radiograph (Clark technique) or tomography.

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Author Biographies

Karina Giovanetti, University of Campinas

PhD Student at the Department of Morphology; Piracicaba Dental School, University of Campinas, Brazil.

Eder Alberto Sigua-Rodriguez, University of Campinas

PhD Student at the Department of Oral and Maxillofacial Surgery; Piracicaba Dental School, University of Campinas, Brazil.

Larissa Pacheco, University of Campinas

PhD in Pediatric Dentistry; Piracicaba Dental School, University of Campinas, Brazil 

Evandro Portela-Figueiredo, University of Maranhão

Professor at the Department of Oral and Maxillofacial Surgery, University of Maranhão, Brazil.

Jose Ricardo Albergaria-Barbosa, University of Campinas

Professor at the Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, University of Campinas, Brazil 


Alberti G, Mondani PM, Parodi V. Eruption of supernumerary permanent teeth in a sample of urban primary school population in Genoa, Italy. Eur J Pediatr Dent 2006; 7(2): 89-92.

Russell KA, Folwarczna MA. Mesiodens - diagnosis and management of a common supernumerary tooth. J Can Dent Assoc 2003; 69(6): 362-366.

Zhu JF, Marcushamer M, King DL Henry RJ. Supernumerary and congenitally absent teeth: a literature review. J Clin Pedriatr Dent 1996; 20(2): 87-95.

Alaçam A, Bani M. Mesiodens as a risk factor in a treatment of trauma cases. Dent Traumatol 2009; 25(2): e25-e31.

Levine N. The clinical management of supernumerary teeth. J Can Dent Assoc 1961; 28: 297-303.

Luten JR Jr. The prevalence of supernumerary teeth in primary and mixed dentitions. J Dent Child 1967; 34(5): 346-353.

Meighani G, Pakadaman A. Diagnosis and management of supernumerary (mesiodens): a review of the literature. J Dent Tehran Uni Med Sci 2010; 7(1): 41-49.

Daskalogiannakis J, Piedade L, Lindholm TC, Sándor GK, Carmichael RP. Cleidocranial dysplasia: 2 generations of management. J Can Dent Assoc 2006; 72(4): 337-342.

Sykaras SN. Mesiodens in primary and permanent dentitions. Report of case. Oral Surg Oral Med Oral Pathol 1975; 39(6): 870-874.

Ferrés-Padró 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 (3): E146-152.

Gallas MM, García A. Retention of permanent incisors by mesiodens: a family affair. Br Dent J 2000; 188(2): 63-64.

Garvey MT, Barry HJ, Blake M. Supernumerary teeth—an overview of classification, diagnosis and management. J Can Dent Assoc 1999; 65(11): 612-616.

Choi HM, Han JW, Park IW, Baik JS, Seo HW, Lee JH et al. Quantitative localization of impacted mesiodens using panoramic and periapical radiographs. Imaging Sci Dent 2011; 41(2): 63-69.

Jung YH, Nah KS, Cho BH. The relationship between the position of mesiodens and complications. Korean J Oral Maxillofac Radiol 2008; 38(2): 103-107.

Khandelwal V, Nayak AU, Naveen RB, Ninawe N, Nayak PA, Sai Prasad SV. Prevalence of mesiodens among six- to seventeen-year-old school going children of Indore. J Indian Soc Pedod Prev Dent 2011; 29(4): 288-293.

Mukhopadhyay S. Mesiodens: a clinical and radiographic study in children. J Indian Soc Pedod Prev Dent 2011; 29(1): 34-38.

Langland OE, Langlais RP, McDavid WD, Del Balso AM. Panoramic radiology. 2 ed. Philadelphia: Lea & Febiger, 1989.

Huang WH, Tsai TP, Su HL. Mesiodens in the primary dentition stage: a radiographic study. ASDC J Dent Child 1992; 59(3): 186-189.

Verma L, Gauba K, Passi S, Agnihotri A, Singh N. Mesiodens with an unusual morphology. A case report. J Oral Health Community Dent 2009; 3(2): 42-44.

Yague-Garcia J, Berini-Aytes L, Gay-Escoda C. Multiple supernumerary teeth not associated with complex syndromes: a retrospective study. Med Oral Patol Oral Cir Bucal 2009; 14(7): E331-336.



How to Cite

Giovanetti, K., Sigua-Rodriguez, E. A., Pacheco, L., Portela-Figueiredo, E., & Albergaria-Barbosa, J. R. (2016). Mesiodens: a case report. Revista Facultad De Odontología Universidad De Antioquia, 28(1), 210–219.

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