J Dent Oral Biol | Volume 2, Issue 15 | Case Report | Open Access

Intentional Retention and Restoration of Mesiodens Highlighting the Importance of Patient Treatment Needs in Treatment Planning

Swati Sharma¹, Pankaj Kharade^2*, Tewari RK¹ and Mahesh Verma³

¹Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahmed Dental College & Hospital, AMU,
Aligarh, Uttar Pradesh, India
²Department of Prosthodontics, Dr. Ziauddin Ahmed Dental College & Hospital, AMU, Aligarh, Uttar Pradesh, India
³Department of Conservative Dentistry and Endodontics, Maulana Azad Institute of Dental Sciences, New Delhi,
India

^*Correspondance to: Pankaj Kharade 

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Abstract

Early diagnosis and extraction is the best treatment option for the mesiodens to prevent further complications. But in most cases, mesiodens is not diagnosed at correct time and leads to various complications such as ectopic eruption of permanent central incisor. In such cases also, treatment is extraction of mesiodens and orthodontic alignment of ectopically erupted tooth. Treatment should always be planned taking various factors into consideration such as main objective for the treatment, radiographic and clinical evaluation, treatment outcome, financial condition of the patient and patient’s preferences. We should think of all treatment alternatives while planning treatment and must take final decision with patient’s involvement. This case report presents a case of intentional retention of fully erupted mesiodens as an esthetic substitute for malpostioned maxillary central incisor emphasizing the importance of patient preferences and treatment needs in treatment planning.

Keywords:

Esthetic; Maxillary central incisor; Mesiodens; Treatment needs

Citation:

Sharma S, Kharade P, Tewari RK, Verma M. Intentional Retention and Restoration of Mesiodens Highlighting the Importance of Patient Treatment Needs in Treatment Planning. J Dent Oral Biol. 2017; 2(15): 1094.