Oral Pathology
David Lawrence, DMD
Resident
Case Western Reserve University — UH Rainbow Babies and Children’s Hospital, Cleveland, OH
Case Western Reserve University - UH Rainbow Babies and Children's
Lyndhurst, Ohio, United States
Gerald A. Ferretti, DDS, MS, MPH
Professor and Chair
Case Western Reserve University
Cleveland, Ohio, United States
Margaret Elaine Ferretti, DMD, MPH
Program Director
Case Western Reserve University
Rainbow Babies and Children's Hospitals, Case Western Reserve University
Cleveland, Ohio, United States
Ying An, DDS, PhD
Case Western Reserve University School of Dental Medicine
Cleveland, Ohio, United States
Margaret Elaine Ferretti, DMD, MPH
Program Director
Case Western Reserve University
Rainbow Babies and Children's Hospitals, Case Western Reserve University
Cleveland, Ohio, United States
Ying An, DDS, PhD
Case Western Reserve University School of Dental Medicine
Cleveland, Ohio, United States
Identifying abnormal growth and development in primary and permanent teeth is one of a Dentist’s many key roles as a clinician. Supernumerary teeth is an abnormal development of an excess number of teeth. Mesiodens are supernumerary teeth observed in the maxillary anterior midline. The timing of identification, intervention and the approach has varied throughout the years and has been the topic of many studies. This case discusses the identification, intervention and management of a young male who is in mixed dentition and was identified to have bilateral mesiodens. Details of his case from initial emergency visit and referral to current management of restoring form, function and aesthetics are discussed, all through the scope of evidence based practices.