DOUBLE TROUBLE IN THE MIDLINE: SURGICAL MANAGEMENT OF A CASE OF DUAL IMPACTED MESIODENS

*Dr. Janhavi Kulkarni, Dr. Ashutosh Sutar, Dr. Yogesh Doshi, Dr. Mona U. Shah, Dr. Rasika Painter, Dr. Ruchir Govardhan

ABSTRACT

Introduction: Mesiodens are supernumerary teeth located in the maxillary midline, often associated with complications such as malalignment, delayed eruption, or crowding. Early diagnosis and appropriate management are essential to prevent aesthetic and functional disturbances. Case Presentation: A 25-year-old male reported with a complaint of malaligned anterior teeth. Cone Beam Computed Tomography (CBCT) revealed the presence of two impacted mesiodens. Under local anesthesia, a full-thickness flap was reflected, bone guttering was performed, and both mesiodens were surgically extracted. The postoperative period was uneventful, with satisfactory healing observed at one-week follow-up. Conclusion: This case highlights the importance of radiographic evaluation, especially CBCT, in accurately diagnosing and managing multiple impacted mesiodens. Early detection and precise surgical management are crucial to restore proper alignment and prevent future complications.

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