1/7. A multidisciplinary approach to the treatment of an intruded maxillary permanent incisor complicated by the presence of two mesiodentes.Treatment of a traumatically intruded maxillary incisor with an immature apex remains controversial. Treatment options include observation, surgical repositioning, or orthodontic forced eruption. Likewise, the ideal timing of surgical removal of a mesiodens is highly controversial: immediate versus delayed intervention. The complications associated with untreated supernumerary teeth include: overretention of primary teeth, delayed eruption of permanent incisors, rotations, impaction, diastema, pulp necrosis and root resorption. Less common sequelae include enlarged follicular sacs, cystic degeneration and nasal eruption. This paper describes another risk factor associated with delayed removal of a mesiodens previously not mentioned in the dental literature, namely potential complications arising from a traumatic injury, in particular intrusion, of the maxillary permanent incisors.- - - - - - - - - - ranking = 1keywords = diastema (Clic here for more details about this article) |
2/7. Multidisciplinary evaluation and clinical management of mesiodens.Supernumerary teeth are a disorder of odontogenesis relatively common in the oral cavity and characterized by an excess number of teeth. The term mesiodens is used to refer to an unerupted supernumerary tooth in the central region of the premaxilla between the two central incisors. The complications associated with mesiodens include: lack of eruption of permanent teeth, the deviation of the eruption path, rotations, retention, root re-absorption and pulp necrosis with loss of vitality, and diastema. Early detection of mesiodens is most important if such complications are to be avoided. This report describes the treatment of a maxillary central incisor impacted by a mesiodens. The case initially required only surgical treatment, to remove the supernumerary tooth. Successively, orthodontic therapy was done to bring into position the left permanent central incisor, which erupted physiologically, but rotated 90 degrees around along its long axis.- - - - - - - - - - ranking = 1keywords = diastema (Clic here for more details about this article) |
3/7. Management of median diastema.In mixed and early permanent dentitions, median diastema can be a major esthetic concern for patients and/or their parents. The space can be transient or created by developmental, pathological, or iatrogenic factors. Different treatment techniques have been proposed to manage the situation. This paper reviews the common causes of median diastema and presents four cases to illustrate a range of restorative and orthodontic options.- - - - - - - - - - ranking = 6keywords = diastema (Clic here for more details about this article) |
4/7. Supernumerary teeth in the primary dentition: a report of two cases.Supernumerary teeth occur frequently in the permanent dentition, but they are rare in the primary dentition. Mesiodens is a supernumerary tooth with a cone shaped crown and a short root. The supernumerary tooth which bears resemblance to the tooth with which it is associated is called a supplemental tooth. The etiology of supernumerary teeth is still unknown and not well understood. Radiographic examination of pre-school children is essential for their diagnosis. Early removal of these teeth is required so that complications such as delay in eruption of permanent teeth, crowding, diastema, rotations and certain pathologic conditions can be averted.- - - - - - - - - - ranking = 1keywords = diastema (Clic here for more details about this article) |
5/7. Multidisciplinary treatment of "twinned" permanent teeth: two case reports.Twinned teeth usually appear in the anterior region of the dental arch. Besides orthodontic malocclusions, such as protrusion, crowding, or diastema, they also cause esthetic problems. Different treatment methods can be used according to the requirements of the situation. This article reports multidisciplinary treatment of 2 patients whose maxillary central teeth were twinned with supernumerary incisors. The twinned tooth was reshaped following endodontic treatment in 1 of the patients and orthodontic treatment was performed with edgewise mechanics. In the second case, however, it was determined that the twinned tooth had 2 separate roots. There was also another supernumerary lateral incisor in the dental arch that increased the severity of the crowding. The twinned tooth was hemisected and the other supernumerary tooth was extracted. The patient wore a removable appliance for initial tooth movements and treatment was finished with fixed appliances.- - - - - - - - - - ranking = 1keywords = diastema (Clic here for more details about this article) |
6/7. Lower mesiodens: report of an unusual case.This report describes a case of an 11 years old girl presenting a supernumerary tooth between lower central incisors. The case initially required only surgical treatment to remove the lower mesiodens. Sequentially, the patient was referred to an orthodontic therapy due to a presence of diastema.- - - - - - - - - - ranking = 1keywords = diastema (Clic here for more details about this article) |
7/7. Maxillary midline diastema: a case report involving a combined orthodontic/maxillofacial approach.This paper presents an orthodontic case of a large (14.5 mm) maxillary midline diastema that was related to the presence, and subsequent removal of 2 median maxillary supernumerary teeth and resulting bone loss. A combined orthodontic and maxillofacial approach involving bone grafting and fixed appliances was used to close the space. This episode of care was organized as interceptive treatment during development of the permanent dentition.- - - - - - - - - - ranking = 5keywords = diastema (Clic here for more details about this article) |