Özet:

Supernumerary teeth are relatively common in the oral cavity and are characterized by an excessive number of teeth. The term "mediodens" refers to a supernumerary tooth located in the midline of the maxilla between the central incisors. A mesiodens is often diagnosed coincidentally during a radiological examination. However, a mesiodens may also be diagnosed in relation to a clinically identified central diastema and an eruption disturbance, or a rotation of a central incisor. Early diagnosis minimizes treatment needs and prevents associated complications. This case shows orthodontic treatment of a 9 year old patient after extraction of the mesiodens. This treatment produced satisfactory results in terms of both aesthetics and function. Key-Words: Mesiodens, Early diagnosis center tooth is presented for orthodontic treatment for the patient with a wide diasthesis due to the intercity between the tooth. In the 9th year, the man came to our clinic with a gap between the top two front teeth and the clarification of interference in the teeth. The patient's overall health was good and no systemic disease was present. In the oral examination it was found that it was in the time of the karma dental and that there was a diasthema between the upper center cuts. There was also a high level of Case Presentation/Case Report braking between the central teeth. After obtained oklusal and panoramic radiography, between the top two central teeth was detected interdental teeth. Picture 1 . Pre-treatment images Treatment planning Treatment stage was taken by removing the flap under the patient's mesiodens female local anesthesia. In the same session, the frenylum frenectomy was exhausted by a operation that could prevent the central teeth from approaching each other. After the closure of the area with 4/0 vikrils, a prescription was given containing postoperative antibiotics, analgesics and chlorhexidine glucone. A week later, the patient was monitored with the purpose of spontaneous closure of the diasthema after taking the brushes and checking the place of the wound, and followed with periodic checks for 8 months. Since the diasthesis was not spontaneously closed as a result of the checking, a short-term fixed orthodontic treatment was applied. Permanent first molar and four cut female utility ark was applied. After six months of orthodontic treatment, it was observed that the patient had a better aesthetic by closing the diastem. Patient periodic examinations are ongoing. Picture of 2. Treatment phase Figure 3.Post-treatment images TRANSFERMENT Bodin and his friends have indicated that the long-term teeth are usually localized in the permanent dental period and between central cutting teeth, followed by the mandibular premols, maxilla molar, mandibula cutting teeth, maxilla premols and mandibula molar area. Sürnumerer teeth can cause a variety of problems, such as driving disorder, driving delay, position changes in the teeth, ground narrowness, diastema, primordial or folicular cyst formations, pain and swelling in the area concerned, root resorptions in the neighboring teeth. 2.9 The number of teeth that we see is the number of teeth. Although a large portion of the Meziodens are fully buried and do not damage the neighboring teeth, some of them may cause dental arc irregularities or permanent teeth to remain tossed, especially when they are placed on the cretus in the palatinal, vestibular and interdental position, especially in the mouth. The clinical diagnosis of those buried in Meziodens is difficult. But causing rotating, diasthesis in neighboring teeth can be a clue in clinical examination. The main assessment is with radiographs. The majority of the interdependents may be detected by random radiographs. In this case, the clinical examination also identified the presence of diasthesis in neighboring teeth and radiographed with the presence of interodensin. In the treatment of supernumerary teeth, the type, location and effect of the neighboring teeth are important. In clinical and radiographic examinations, the screening of the teeth determined to cause complications is determined.11,12 . Munns and their friends said the earlier the decision to take the risk factor tooth, the more successful the forecast would be. As it is known, diasthesis may cause food accumulation between the teeth, but it may also cause food to be buried in the tooth. Even a periodontal disease preparing environment can be created as a result of some tooth change and therefore ranging in a bad position. Therefore, the early diagnosis, proper evaluation and appropriate treatment of the diastemic that is caused by the interdental tooth is very important. Combined treatment, as in this case, involves the first withdrawal of the meziodens tooth by appropriate methods, and the giving of the appropriate dental form to the ortodontic intervention that closes the diasthesis of the cutting tooth and the new arc relationship. As a result, literary information in the light of the short period of time and in the long period of time will be appropriate for the immediate drawing of the interodens tooth that affects the neighboring teeth in a negative direction, after the drawing will be achieved successful results with short period of orthodontic treatment. The sources 1. Mc Donald F, Do WL. The surgical exposure and application of direct traction of unerupted teeth. Am is. J Orthod 1986; 89, 331-40. 2nd Srivastava N, Srivastava V. An inverted supernumaray tooth: Report of case. ASDC J Dent Child 2001; 68: 61-2. and 3. Ertunç D., Orbak R. Meziodens and Treatment Approaches. Ataturk Univ.Diet Hek Fak Journal 1999; 9: 91-5.

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