Management of supernumerary teeth depends on the type and position of the tooth. Immediate removal of mesiodens is usually indicated in the following situations; inhibition or delay of eruption, displacement of the adjacent tooth, interference with orthodontic appliances, presence of pathologic condition, or spontaneous eruption of the supernumerary
tooth. Munns [58] stated that the earlier the mesiodens is removed, the better the prognosis. There are two methods for extraction of mesiodens; early extraction before root formation of the permanent incisors and late extractionafter root formation of the permanent incisors
[11]. Some authors recommend extraction of
mesiodens in the early mixed dentition in order
to facilitate spontaneous eruption and
alignment of the incisors [59-61].
There is controversy in the literature regarding
the time of removal of any unerupted mesiodens.
The immediate removal versus delay in
surgical intervention following root development
of the central incisor and the lateral incisor
about the age of eight to 10 years has been
mentioned [62].
In order to promote eruption and proper
alignment of adjacent teeth, it is recommended
to extract mesiodens in the early mixed dentition,
which may reduce the need for orthodontic
treatment. It might take six months to three
years for an unerupted tooth to erupt after removal
of the mesiodens [58]. Henry and Post
[63] suggested delayed extraction of the mesiodens
about the age of 10 when the apex of
the central incisor nearly forms. If treatment is
postponed after this age, more complex surgical
and orthodontic treatment may be necessary.
The type and position of the unerupted
tooth, the space available in the dental arch, in
addition to the stage of root development may
influence how long it takes for an impacted
tooth to erupt after surgical removal of the mesiodens.
Garvey recommended monitoring of mesiodens
in the following situations; satisfactory
eruption of the succeeding teeth, absence of
Management of supernumerary teeth depends on the type and position of the tooth. Immediate removal of mesiodens is usually indicated in the following situations; inhibition or delay of eruption, displacement of the adjacent tooth, interference with orthodontic appliances, presence of pathologic condition, or spontaneous eruption of the supernumerarytooth. Munns [58] stated that the earlier the mesiodens is removed, the better the prognosis. There are two methods for extraction of mesiodens; early extraction before root formation of the permanent incisors and late extractionafter root formation of the permanent incisors[11]. Some authors recommend extraction ofmesiodens in the early mixed dentition in orderto facilitate spontaneous eruption andalignment of the incisors [59-61].There is controversy in the literature regardingthe time of removal of any unerupted mesiodens.The immediate removal versus delay insurgical intervention following root developmentof the central incisor and the lateral incisorabout the age of eight to 10 years has beenmentioned [62].In order to promote eruption and properalignment of adjacent teeth, it is recommendedto extract mesiodens in the early mixed dentition,which may reduce the need for orthodontictreatment. It might take six months to threeyears for an unerupted tooth to erupt after removalof the mesiodens [58]. Henry and Post[63] suggested delayed extraction of the mesiodensเกี่ยวกับอายุเมื่อ 10 สุดยอดของฟอร์ม incisor กลางเกือบ ถ้ารักษาเลื่อนออกไปหลังจากอายุนี้ ผ่าตัดซับซ้อนมากขึ้นและอุปกรณ์อาจจำเป็นชนิดและตำแหน่งของการ uneruptedพื้นที่ว่างในโค้งฟัน ฟันในอาจเพิ่มระยะของการพัฒนาหลักมีผลอย่างไรระยะเวลาที่ใช้สำหรับการคุดฟันลุกเป็นไฟหลังจาก mesiodens การผ่าตัดเอาออกGarvey แนะนำตรวจสอบ mesiodensในสถานการณ์ต่อไปนี้ เป็นที่พอใจปะทุของฟันถัดไป การขาดงานของ
การแปล กรุณารอสักครู่..