MANAGEMENT OF A CASE OF LOST PRIMARY INCISOR DUE TO MESIODENS: ONE-YEAR FOLLOW-UP

Supernumerary teeth are frequently observed in the permanent dentition but they are rare in the primary dentition. mesiodens is a very rare supernumerary tooth between central incisors which can be associated with syndromes such as gardner syndrome, cleidocranial dysostosis, nance-horan syndrome, trichorhinophalangeal syndrome and other rarer syndromes. boys are twice as much affected than girls with a ratio of 2: 1. several theories such as the atavistic theory, the dichotomy theory, dental lamina theory and the unified etiologic explanation have been proposed but an exact etiology is still obscure. mesiodens can cause cysts, malocclusion, resorption of the adjacent teeth. generally the treatment of mesiodens is extraction, however sometimes follow-up may be an appropriate approach. this case report describes the esthetic management of a primary central incisor loss due to the underlying mesiodens resorbing its root using the natural crown of the patient.