Conical mesioden
The closest thing to a unicorn you’ll find in dentistry 🦄
CC: “My son has an extra tooth!”
Dx: conical mesioden
Tx: extraction of mesioden
🔑: Here are some quick facts on conical mesiodens!
The prevalence of mesiodens ranges from 0.15% to 1.9% in the general population.
Mesiodens are more frequently found in males with a sex ratio around 2-5:1.
An autosomal dominant (with incomplete penetrance) and X-linked inheritance pattern has been observed (may explain the increased prevalence in males!).
Complications include delayed eruption, impaction, and displacement of adjacent permanent teeth. In this case, #9 is visibly displaced in the buccal direction.
When a conical mesioden has erupted like the one in this photograph, its extraction is fairly straightforward. The technique is similar to extracting a canine, requiring just a quick rotation.
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