Extraction of Mesiodens.Case report by Dr Azhar Chisti

27 year old patient,Shashi came to me with an unusual complaint of sharp tooth cutting his tongue.On examination a supenumerary tooth was found with a sharp incisal edge and tilted palatally.The supernumerary tooth which is usually named as a mesiodens(that supernumerary tooth which is present between the two upper central incisors) in dental terminologies had a sharp edge causing an ulcer to the tongue.Radiograph showed the root of mesiodens entangled between the roots of two central incisors which can cause a big problem during the extraction of this tooth.
Hence it was planned that the tooth be extracted without making any mesio-distal or bucco-palatal movement as it may cause unwanted movement of root tips of incisors.The tooth was extracted after proper seperation of PDL fibres with pure rotational movements

Extraction site.Picture taken immediately after the extraction of supernumerary tooth

Extracted mini mesiodens.Note the sharp tapered root of the tooth