resence of mesiodens in non-syndromic siblings patients: Two case reports

30. Uluslararası Türk Pedodonti Derneği Kongresi, Antalya, Turkey, 17 - 20 October 2024, pp.175

Publication Type: Conference Paper / Summary Text
City: Antalya
Country: Turkey
Page Numbers: pp.175
Kütahya Health Sciences University Affiliated: Yes

INTRODUCTION: Supernumerary teeth are a developmental dental anomaly characterised by an increase in the number of teeth and are most common- ly seen in the maxillary anterior region.Mesiodens are the most common supernumerary teeth located between the central incisors. The incidence of mesiodens is 0.15% to 1.9%, with males being more common than females. The etiology of mesiodens is not known exactly, but it’s suggested that it may be genetically inherited.

CASE REPORT: The aim is to report two brothers, without systemic disaese, affected by the presence of mesiodens. The cases were followed clinically and radiographically for 1 year. Case 1: An 8-year-old male patient presented to our clinic for routine examination. In the radiographic examination, it was clinically determined that tooth number 11 hadn’t erupted yet, and the reason for this was that there was a conical shaped mesiodens in the mouth instead of this tooth, and it was decided to extract the mesiodens. After one year of follow-up, it was observed that tooth number 11 erupted spontaneously. Case 2: A 13-year-old male patient was admitted to clinic with complaints of pain. Clinical and radiographic examination revealed the presence of erupted mesiondens, at the level of teeth 21-22 in the paletinal region. It was decided to extract this tooth.

CONCLUSIONS: Extraction is necessary for mesiodens and correction of occlusal malformations. The presence of supernumerary teeth in two family members highlights that genetic transmission may play an etiological role at mesiodens and emphasises the importance of early diagnosis and treatment.

Keywords: supernumerary, mesiodens, siblings, genetic

GİRİŞ: Süpernumerer dişler, diş sayısındaki artışı ifade eden gelişimsel dental anomalidir ve en sık maksiller anterior bölgede görülmektedir. Mezio- densler ise santral kesici dişler arasında konumlanan, en yaygın izlenen süpernümerer dişlerdir. Meziodenslerin görülme sıklığı %0,15 ila %1,9 iken, erkeklerde kadınlardan daha sık görülür. Meziodenslerin etiyolojisi tam olarak bilinmemekle beraber genetik geçişli olabileceği söylenmektedir.

OLGU RAPORU Sendromik olmayan, sistemik hastalığı bulunmayan, meziodens varlığından etkilenen iki erkek kardeş olgusunu bildirmeyi amaçlamak- tadır. İlgili vakalar klinik ve radyografik olarak 1 yıl süresince takip edilmiştir. Olgu 1: 8 yaşındaki erkek hasta rutin muayene için kliniğimize başvur- muştur. Radyografik Muayenede 11 numaralı dişin henüz sürmediği, bunun nedeni olarak bu dişin yerine ağızda konik şekilli meziodens olduğu klinik olarak tespit edilmiş olup meziodensin çekimine karar verilmiştir. Bir yıllık takip sonrası 11 numaralı dişin kendiliğinden sürdüğü gözlenmiştir. Olgu 2: 13 yaşında erkek hasta, ağrı şikayetiyle birlikte kliniğimize başvurmuştur. Hastanın klinik ve radyografik muayenesinde maksillada 21-22 numaralı dişler hizasında maksillar paletinal bölgede sürmüş bir meziondens varlığı tespit edilmiştir. Bu dişin çekimine karar verilmiştir.

SONUÇLAR: Meziodenslerin tedavisi ve oklüzal malformasyonların düzeltilmesi için çekimi gerekmektedir. Bu vaka raporu, aynı aileden iki bireyde sü-pernümerer dişlerin varlığını ve bu dişlerde etiyolojik olarak genetik geçişin rol alabileceğini işaret etmekte olup aynı zamanda erken tanı ve tedavinin önemini vurgulamaktadır.

Anahtar Kelimeler: süpernümere, meziodens, kardeş, genetik