Mesiodens Causes and Treatment

What is a Mesiodens?

One’s dentition in a lifetime can be divided into two categories,  primary dentition with 20 teeth and permanent dentition with 32 teeth.

But some scenarios showcase the presence of  extra teeth in between the normal natural set.

Have you ever noticed that?

These are called supernumerary teeth that appear in addition to the normal number of teeth. You may notice its presence in different areas of the mouth from upper front tooth region to back tooth area. Some of them remain asymptomatic in the mouth whereas many affect the overall aesthetics.

Mesiodens is the most common type of supernumerary teeth which may occur unilaterally or bilaterally as a pair.

What causes them?

Though exact cause of its occurrence is unknown, many syndromes show its presence like

  • Cleft lip and palate
  • Cleidocranial dysplasia
  • Gardners syndrome
  • Orofaciodigital syndrome

What should I do when I notice such an anomaly?

As mentioned earlier timely treatment is very important when you notice such a scenario.

Their removal is very important in maintaining good dental health as its presence may give a negative impact to overall dental health.

Radiographs are mandatory before the removal of mesiodens so as to determine its root structure and form inorder to prevent potential complications in future.

Some cases also require orthodontic treatment (fixed braces treatment) after extraction to correct alignment, positioning and spacing problems.

So, it’s always advisable to bring your child to dentist as soon as you find such an anomaly rather than waiting until the child is old. Timely removal is the paramount in maintaining and furnishing dental health.


RVG or Radiovisiograph of Mesiodens in a 9 year old male child.

If you have seen kids with such extra abnormal tooth in the upper front tooth region, you would have definitely noticed the malalignment it has created in the oral cavity.

Mesiodens appear in the upper front tooth region especially in between or behind the front two teeth with an abnormal conical shape. Its occurrence is rare and affects permanent dentition more than baby teeth.


If you notice the presence of mesiodens, it is very important to remove it in timely manner as they can affect the overall dental development.


If yes, advise them to visit Shifa Dental Clinic in Thrissur at the earliest.

What are the potential complications of having a mesiodens?

  • Surrounding teeth gets displaced.
  • Spacing may occur in between other surrounding teeth.
  • Delayed eruption of other teeth.
  • Presence of crowding around the mesiodens.
  • Development of cysts.
  • Resorption of adjacent teeth.

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Shifa Dental Clinic provide team based, comprehensive dental care for children & adults including patients of all age.

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Shifa Dental Clinic provide team based, comprehensive dental care for children & adults including patients of all age.

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