Abstract

Mesiodensler maksilla orta hat bölgesinde oluşan sürnümerer dişlerin en büyük oranını oluşturan diş benzeri yapılardır.. Birçok sendromla ilişkili olabildiği gibi sağlıklı bireylerde de ortaya çıkabilmektedir. Gömülü veya sürmüş şekilde, vertikal, horizontal ya da inverted pozisyonda olabilirler. Komşu dişlerde kök rezorpsiyonu, çapraşıklık, diastema, kist oluşumu gibi birçok komplikasyona sebep olabilirken hayat boyu asemptomatik ve fark edilmeden de kalabilirler. Gömülü mesiodensler bir komplikasyona sebep oluyorsa çekilmeleri gerekmektedir. Diğer yönden semptomsuz mesiodenslerin gereksiz çekimlerinden ise operasyon sırasında komşu dişler ve anatomik yapılarda oluşabilecek zararlar düşünülerek kaçınılmalıdır. Rutin dental pratikte iki boyutlu görüntüleme yöntemleri tercih edildiği için mesiodensler her zaman teşhis edilemeyebilirler. Günümüzde CBCT gibi 3 boyutlu görüntüleme teknikleri sayesinde detaylı morfolojileri, konumları, anatomik oluşumlarla ilişkileri ve herhangi bir patoloji oluşturup oluşturmadıkları gibi faktörler net olarak tespit edilebilmektedir. Böylece cerrahi müdahale yapılıp yapılmayacağına kar-zarar dengesi açısından daha kolay karar verilebilir.. Bu olgu sunumunda literatürde oldukça az sayıda rapor edilmiş olan ve 61 yaşındaki bayan hastada CBCT sayesinde tespit edilebilmiş çift inverted mesiodens vakası rapor edilmektedir

Keywords

• Mesiodens, Inverted dişler, Sürnümere dişler, Konik ışınlı bilgisayarlı tomografi

DOUBLE INVERTED MESIODENSES DIAGNOSED USING CBCT: AN EXCEPTIONAL ENTITY

Abstract

Mesiodenses are tooth-like structures which occur in maxillary midline and have the major ratio of the supernumerary teeth. They are related to several syndromes, however may occur on healthy individuals, as well. They may be unerupted or erupted, in vertical, horizontal or inverted positions. They may lead to several complications such as root resorption of adjacent teeth, crowding, diastema and cyst formation whereas they may remain both asymptomatically and unnoticed for a lifetime. Unerupted mesiodenses are needed to be extracted if they cause any complications. However, unnecessary extractions of asymptomatic mesiodenses should be avoided, considering possible damages on adjacent teeth and anatomic structures. In routine dental practice, mesiodenses may be misdiagnosed due to the using of two dimensional radiographies. Nowadays, by means of three dimensional imaging methods such as CBCT, the morphology, location, relationship with anatomical structures of mesiodense and any pathology related with them can be identified precisely. Therefore, it can be easier to decide whether a surgical operation is needed in terms of profit/loss balance. The aim of this case report is to present a doubleinverted mesiodenses diagnosed using CBCT in a 61-yearold female patient, which reported in a small number of cases in the literature

Keywords

• Mesiodens, Inverted tooth, Surnumerary tooth, CBCT

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