Applied Sciences | Open Access | DOI: https://doi.org/10.37547/tajas/Volume05Issue09-03

REMOVAL SURGICAL OF MESIODENS IN THE PALATE FOR OCCLUSAL REESTABLISHMENT: A CASE REPORT

Raul de Oliveira Teixeira Neto , Nilton Lins University, Brazil
Jefferson Pires da Silva Júnior , Nilton Lins University, Brazil
Jorge Henrique De Sousa Martins , Nilton Lins University, Brazil
Pedro Paulo Lopes De Almeida , Nilton Lins University, Brazil
Thais De Souza Pereira , Nilton Lins University, Brazil
Flávio Lima Do Amaral Silva , Nilton Lins University, Brazil
Leandro Coelho Belém , Nilton Lins University, Brazil
Anderson Moreira De Medeiros , Nilton Lins University, Brazil

Abstract

The purpose of this work is to report on the reestablishment of the patient's occlusion through the surgical removal of mesiodens in the palate. A 15-year-old male patient sought care at the dental clinic at Nilton Lins University accompanied by his guardian, carrying a panoramic radiograph and presenting aesthetic discomfort due to fracture of tooth 21 as the main complaint, the clinical evaluation verified the presence of a structure similar to a supernumerary tooth, this structure prevented a satisfactory occlusion of the patient, destabilizing the lower arch and acting on the intrusion effect of the lower incisors of the third quadrant. Based on the clinical characteristics presented along with the imaging exam, the person responsible for the removal of the mesiodens for occlusal reestablishment and subsequent fabrication of composite resin restoration with return of the disocclusion guide was chosen. The mesiodens was extracted and the occlusal normality was reestablished. Therefore, in view of the clinical resolution presented, the treatment was satisfactory, allowing the advancement to the restorative stages, and returning a normal pattern of the patient's occlusal profile.

Keywords

Tooth, supernumerary, surgery

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Raul de Oliveira Teixeira Neto, Jefferson Pires da Silva Júnior, Jorge Henrique De Sousa Martins, Pedro Paulo Lopes De Almeida, Thais De Souza Pereira, Flávio Lima Do Amaral Silva, … Anderson Moreira De Medeiros. (2023). REMOVAL SURGICAL OF MESIODENS IN THE PALATE FOR OCCLUSAL REESTABLISHMENT: A CASE REPORT. The American Journal of Applied Sciences, 5(09), 11–18. https://doi.org/10.37547/tajas/Volume05Issue09-03