DOUBLE INVERTED MESIODENSES DIAGNOSED USING CBCT: AN EXCEPTIONAL ENTITY

Abstract

Mesiodenses are tooth-like structures which occur in maxillary midline and have the major ratio of the supernumerary teeth. They are related to several syndromes, however may occur on healthy individuals, as well. They may be unerupted or erupted, in vertical, horizontal or inverted positions. They may lead to several complications such as root resorption of adjacent teeth, crowding, diastema and cyst formation whereas they may remain both asymptomatically and unnoticed for a lifetime. Unerupted mesiodenses are needed to be extracted if they cause any complications. However, unnecessary extractions of asymptomatic mesiodenses should be avoided, considering possible damages on adjacent teeth and anatomic structures. In routine dental practice, mesiodenses may be misdiagnosed due to the using of two dimensional radiographies. Nowadays, by means of three dimensional imaging methods such as CBCT, the morphology, location, relationship with anatomical structures of mesiodense and any pathology related with them can be identified precisely. Therefore, it can be easier to decide whether a surgical operation is needed in terms of profit/loss balance. The aim of this case report is to present a double inverted mesiodenses diagnosed using CBCT in a 61-year old female patient, which reported in a small number of cases in the literature