A mesiodens is a supernumerary tooth that is found in the midline of the maxilla. Fifteen
percent erupt usually between the ages of 3 and 7. The standard treatment is
extraction of the supernumerary to allow the permanent incisors to erupt properly. This
case report describes an instance where the primary incisor was prematurely exfoliated
due to the eruption of the mesiodens. Because of the favorable position of the mesiodens
in the dental arch, it was decided to reshape the supernumerary to resemble a primary
incisor. This was accomplished successfully, and the mesiodens is being monitored to
assess any need to trim or add to the bonding material as the child grows. (Pediatr Dent.
2003;25:585-586)
KEYWORDS: MESIODENS, CROWN RESHAPING, PRIMARY INCISOR