THE EVALUATION OF MESIODENS: A CLINICAL AND RADIOGRAPHIC STUDY

Purpose; in this study, patients attending pedodontic clinic in a variety of dental complaints incidence of mesiodens with clinical and radiographic detection of examinations, and also patients with mesiodens gender, age, also aimed to evaluate the shape and position of mesiodens. materials and methods; the patients, without genetic and systemic disease between 4 and 13 years of age, who have not undergone an orthodontic treatment and have had various reasons related panoramic radiography indication, were included in the study. through clinical and radiographic examination, the determined erupted or impacted teeth in the anterior area of the jaws between the central teeth were described as mesiodens. the age, gender, mesiodens shape and position of the patients with mesiodens were examined.then the results were evaluated in percentage. mesiodens treatment plan for patients identified as part of a comprehensive oral and maxilla facial surgary and was determined by the outcome of the concultation. results; in our investigation, between the years 2008 and 2010, total 30 mesiodentes were detected in 25 of 3762 patients with various reasons related panaromic radiography and accordingly the detection rate of mesiodens was 0.66%. in our study, mesiodens was not found in patients under 7 years. according to the gender distribution of the patients with mesiodens, the number of girls and boys were five (20%) and twenty (%80) respectively.the most of mesiodens were detected between 8 and 10 years of age. while five of 25 had two mesiodentes (20%), the remaining twenty patients had just one meziodens. upon the examination of mesiodens position, 27 cases about vertical mesiodens (88.9%) and three cases about horizontal mesiodens (11.1%) were found. in terms of eruption, 20 teeth with mesiodens (66.6%) were erupted. it was also determined that while eight teeth were half impacted (26.6%), two teeth (6.6%) were impacted. as for the findings of the shape of mesiodentes, while 21 mesiodentes (76%) were in a conical shape, eight teeth (20%) appeared like a canine shape, and on the other hand one tooth (%4) was in an incisor shape. conclusion; it was detectioned that a single vertical mesiodens in conical and erupted situation was four times more common especially in boys.