Published Paper Details:

Supernumerary teeth are a common developmental anomaly which is characterized by the presence of extra teeth as comparison to the normal set of teeth. Mesiodens is the most common supernumerary teeth in the midline which is located in the premaxilla between the two central incisors. Mesiodentes is a not common condition when mesiodens erupt in multiples. The multiple etiological factors associated with its occurrence but the most accepted aetiology is the hyperactivity of the dental lamina. The prevalence ranges from 0.15% to 1.9%, with most commonly seen in male and in permanent dentition than in primary dentition. Mesiodens may be eumorphic, dysmorphic, single or multiple, impacted or erupted and can be inverted, placed labially, palatally or in between the maxillary central incisors, also syndromic or nonsyndromic. Complications associated with the presence of mesiodens may include crowding, delayed eruption, impaction, spacing abnormal root formation, a median diastema, cystic lesion, rotation, and root resorption of the adjacent tooth. Diagnosis is usually made by the clinical and radiological examination. To avoid complications associated with mesiodens, extraction is necessary. Here, we report a case of twin mesiodens, patient is a non-syndromic, present with the maxillary central incisors and affecting malocclusion.The present paper describes the case of two supernumerary teeth, one of which is the impacted in maxillary anterior region of jaw, impacted tooth removed surgically.