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Unusual Morphology of a Mesiodens: A Rare Case Report.

Soham Mayank Vyas, Nupur Rishabh Shah, and Bhavna Haresh Dave

An 7-year school going boy came with a chief complaint of an abnormally shaped tooth situated in upper front teeth region. On examination a supernumerary tooth with multiple lobes was present in between to the maxillary permanent central incisor. The morphology of the tooth crown was found to be unusual due to the presence of three lobes in the crown portion. Because of the supernumerary tooth, the permanent right central incisor was displaced distally creating a midline diastema. Radiographic examination showed a completely formed supernumerary tooth with single root. On the basis of clinical and radiographic examination, the supernumerary tooth was diagnosed as multilobed mesiodens. Since patient expressed dissatisfaction with the presence of supernumerary tooth, it was decided to extract this mesiodens followed by orthodontic treatment for midline diastema in maxillary central incisors.