Korean J Oral Maxillofac Radiol.  2010 Sep;40(3):109-114.

Three dimensional evaluation of impacted mesiodens using dental cone beam CT

• Lee DH
• Lee JS
• Yoon SJ
• Kang BC

Abstract

PURPOSE
This study was performed to analyze the position, pattern of impacted mesiodens, and their relationship to the adjacent teeth using Dental cone-beam CT.
MATERIALS AND METHODS
Sixty-two dental cone-beam CT images with 81 impacted mesiodenses were selected from about 2,298 cone-beam CT images at Chonnam National University Dental Hospital from June 2006 to March 2009. The position, pattern, shape of impacted mesiodenses and their complications were analyzed in cone-beam CT including 3D images.
RESULTS
The sex ratio (M : F) was 2.9 : 1. Most of the mesiodenses (87.7%) were located at palatal side to the incisors. 79% of the mesiodenses were conical in shape. 60.5% of the mesiodenses were inverted, 21% normal erupting direction, and 18.5% transverse direction. The complications due to the presence of mesiodenses were none in 43.5%, diastema in 19.4%, tooth displacement in 17.7%, delayed eruption or impaction in 12.9%, tooth rotation in 4.8%, and dentigerous cyst in 1.7%.
CONCLUSION
Dental cone-beam CT images with 3D provided 3-dimensional perception of mesiodens to the neighboring teeth. This results would be helpful for management of the impacted mesiodens.

Keyword

Tooth, Supernumerary; Incisor; Cone-Beam Computed Tomograpahy

MeSH Terms

Cone-Beam Computed Tomography
Dentigerous Cyst
Diastema
Displacement (Psychology)
Incisor
Sex Ratio
Tooth
Tooth, Supernumerary