Late Diagnosis of Mesiodens and its Relationship with Functional Disorders: A Case Report

Abstract

Aims: To understand the set of factors leading to functional disturbances in the dental arch due to a late diagnosis of the mesiodens anomaly. Study Design: Late diagnosis of mesiodens and its relationship with functional disturbances: A case report. Place and Duration of Study: The study will be conducted as a clinical case report. The patient was treated at the dental clinic of Centro Universitário Univel, located in Cascavel, Paraná. The procedure was performed in September 2023 at the same clinic. Data were collected during the patient's initial consultation, with a scheduled semiannual follow-up. Methodology: The methodology applied includes clinical evaluation of the patient, including a detailed dental examination to identify the presence of Mesiodens and any associated disturbances in the dental arch. Radiographic assessments (periapical and panoramic radiographs) were conducted to better analyze the dental structures and ensure proper diagnosis. Based on the clinical and radiographic findings, a surgical approach was planned and performed. Post-surgical follow-up was established to monitor functional recovery and aesthetic outcomes. Results: The patient presented with a Mesiodens in the anterior maxillary region, erupterd in the mixed dentition stage. A thorough evaluation of adjacent dental structures revealed no significant damage. The surgical procedure for Mesiodens removal was carried out, and after seven days, the patient showed good healing with no complications. Follow-up after 7 months demonstrated a significant reduction in the diastema, attributed to the patient's stage of mixed dentition with the eruption of permanent teeth. Additionally, there was an observed improvement in the patient's occlusion, with better alignment of the teeth, leading to enhanced aesthetics and functionality. Conclusion: Early diagnosis and intervention for Mesiodens are critical in preventing functional disturbances in the dental arch. The surgical removal of Mesiodens can result in significant improvements in both esthetic and functional outcomes. Further studies are needed to explore the long-term effects of Mesiodens and the optimal timing for intervention.