Comprehensive orthodontic management of multiple non-syndromic mesiodens in a Class II subdivision malocclusion: A case report.
Comprehensive orthodontic management of multiple non-syndromic mesiodens
Keywords:
Mesiodens, Supernumerary teeth, Orthodontic treatment
Abstract
Mesiodens is the most common type of supernumerary tooth, typically located in the anterior maxilla. While often asymptomatic, mesiodens can interfere with normal tooth eruption and alignment, leading to aesthetic and functional concerns. Multiple mesiodens, known as mesiodentes, is an uncommon phenomenon. This report presents a rare case of three mesiodentes in a nonsyndromic male patient, describing the clinical features, radiographic findings, and comprehensive treatment approach combining surgical and orthodontic treatment. It aims to assist clinicians in recognizing the presentation of mesiodentes, understanding its consequences on eruption patterns, and selecting appropriate strategies for successful management.
References
References
1. Henninger E, Friedli L, Makrygiannakis MA, Zymperdikas VF, Papadopoulos MA, Kanavakis G, Gkantidis N. Supernumerary Tooth Patterns in Non-Syndromic White European Subjects. Dent J (Basel). 2023 Sep 25;11(10):230.
2. Grün P, Turhani F, Grün AS, Müßig F, Gutwald R, Turhani D. Maxillary impacted mesiodentes in unusual positions: Two case reports. Int J Surg Case Rep. 2025 Sep; 134:111798.
3. Alarcón J, Guzmán J, Masuko TS, Cáceres PN, Fuentes R. Non-syndromic familial mesiodens: Presentation of three cases. Diagnostics (Basel) 2022; 12:1869.
4. Ghislanzoni LH, Berardinelli F, Tagliatesta C, et al. Management of Complicated Crowding and Upper Midline Shift Associated with an Impacted Mesiodens: A Case Report with 2 years Follow-Up. Iranian Journal of Orthodontics. 2016.12(2): e8076.
5. Kumar KRA, Varsha S, Kumar RM, Kumar BJ, Pal S, Handique S. Orthodontic-Surgical Management of Triple Impacted Mesiodens and Maxillary Incisors - A Case Report. Ann Maxillofac Surg. 2024 Jul-Dec;14(2):255-257.
6. Jana S, Basu S, Banerjee A, Pandya D, Bhowmik K. Bilaterally Erupted Conical-shaped Supernumerary Tooth in a Mixed Dentition: A Case Report. Int J Clin Pediatr Dent. 2025 Mar;18(3):308-310.
7. Lo-Casto A, Panzarella V, Palizzolo E, Mauceri R, Giuliana G, Bencivinni F, La-Mantia G, Campisi G, De-Angelis M, La-Tona G, Di-Fede O. Radiological features of double and inverted mesiodens: a systematic review of the literature and presentation of two cases. Med Oral Patol Oral Cir Bucal. 2025 Nov 1;30(6): e906-e915.
8. Meighani G, Pakdaman A. Diagnosis and management of supernumerary (mesiodens): a review of the literature. J Dent (Tehran). 2010 Winter;7(1):41-9.
9. Kaul, Sampada; Kaushik, Noopur; Kaur, Navpreet. Management of multiple mesiodens in mixed dentition period. International Journal of Oral Health Sciences. 2023.13(1): p 48-50.
1. Henninger E, Friedli L, Makrygiannakis MA, Zymperdikas VF, Papadopoulos MA, Kanavakis G, Gkantidis N. Supernumerary Tooth Patterns in Non-Syndromic White European Subjects. Dent J (Basel). 2023 Sep 25;11(10):230.
2. Grün P, Turhani F, Grün AS, Müßig F, Gutwald R, Turhani D. Maxillary impacted mesiodentes in unusual positions: Two case reports. Int J Surg Case Rep. 2025 Sep; 134:111798.
3. Alarcón J, Guzmán J, Masuko TS, Cáceres PN, Fuentes R. Non-syndromic familial mesiodens: Presentation of three cases. Diagnostics (Basel) 2022; 12:1869.
4. Ghislanzoni LH, Berardinelli F, Tagliatesta C, et al. Management of Complicated Crowding and Upper Midline Shift Associated with an Impacted Mesiodens: A Case Report with 2 years Follow-Up. Iranian Journal of Orthodontics. 2016.12(2): e8076.
5. Kumar KRA, Varsha S, Kumar RM, Kumar BJ, Pal S, Handique S. Orthodontic-Surgical Management of Triple Impacted Mesiodens and Maxillary Incisors - A Case Report. Ann Maxillofac Surg. 2024 Jul-Dec;14(2):255-257.
6. Jana S, Basu S, Banerjee A, Pandya D, Bhowmik K. Bilaterally Erupted Conical-shaped Supernumerary Tooth in a Mixed Dentition: A Case Report. Int J Clin Pediatr Dent. 2025 Mar;18(3):308-310.
7. Lo-Casto A, Panzarella V, Palizzolo E, Mauceri R, Giuliana G, Bencivinni F, La-Mantia G, Campisi G, De-Angelis M, La-Tona G, Di-Fede O. Radiological features of double and inverted mesiodens: a systematic review of the literature and presentation of two cases. Med Oral Patol Oral Cir Bucal. 2025 Nov 1;30(6): e906-e915.
8. Meighani G, Pakdaman A. Diagnosis and management of supernumerary (mesiodens): a review of the literature. J Dent (Tehran). 2010 Winter;7(1):41-9.
9. Kaul, Sampada; Kaushik, Noopur; Kaur, Navpreet. Management of multiple mesiodens in mixed dentition period. International Journal of Oral Health Sciences. 2023.13(1): p 48-50.
Published
2025-11-26
How to Cite
verma, S. K., Ahmad, I., Farhan, S., & Brij, D. (2025). Comprehensive orthodontic management of multiple non-syndromic mesiodens in a Class II subdivision malocclusion: A case report. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 11(4). https://doi.org/10.21276/ujds.2025.11.4.6
Section
Case Reports
