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Case series and technical report of nasal floor approach for mesiodens

  • Jeong-Kui Ku (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk National University) ;
  • Woo-Young Jeon (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk National University) ;
  • Jin-A Baek (Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk National University)
  • 투고 : 2023.03.22
  • 심사 : 2023.05.10
  • 발행 : 2023.08.31

초록

Objectives: This case series aims to introduce the nasal floor approach for extracting inverted mesiodens. Materials and Methods: Through a retrospective chart review between January 2022 and February 2023, we included the mesiodens patients using nasal floor approach, and analysis the location of mesiodens from the anterior nasal spine (ANS), total operation time, and complications. Results: Each mesiodens was located 10 to 12 mm from the ANS and was covered with a cortical layer of the nasal floor. All mesiodens were successfully extracted without exposing the adjacent incisors or nasopalatine nerve within 30 minutes from draping to postoperative dressing. Conclusion: The nasal floor approach is an efficient extraction method that reduces bone removal and prevents anatomical damage while removing the mesiodens just below the nasal floor bone.

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참고문헌

  1. Syriac G, Joseph E, Rupesh S, Philip J, Cherian SA, Mathew J. Prevalence, characteristics, and complications of supernumerary teeth in nonsyndromic pediatric population of South India: a clinical and radiographic study. J Pharm Bioallied Sci 2017;9(Suppl 1):S231-6. https://doi.org/10.4103/jpbs.jpbs_154_17
  2. Shih WY, Hsieh CY, Tsai TP. Clinical evaluation of the timing of mesiodens removal. J Chin Med Assoc 2016;79:345-50. https://doi.org/10.1016/j.jcma.2015.10.013
  3. Mukhopadhyay S. Mesiodens: a clinical and radiographic study in children. J Indian Soc Pedod Prev Dent 2011;29:34-8. https://doi.org/10.4103/0970-4388.79928
  4. Mathew M, Sasikumar P, Vivek VJ, Kala R. Surgical management of a rare case of inverted intranasal mesiodens. BMJ Case Rep 2020;13:e237982. https://doi.org/10.1136/bcr-2020-237982
  5. Primosch RE. Anterior supernumerary teeth--assessment and surgical intervention in children. Pediatr Dent 1981;3:204-15.
  6. Sammartino G, Trosino O, Perillo L, Cioffi A, Marenzi G, Mortellaro C. Alternative transoral approach for intranasal tooth extraction. J Craniofac Surg 2011;22:1944-6. https://doi.org/10.1097/scs.0b013e31821151ba
  7. Kimura M, Yasui T, Asoda S, Nagamine H, Soma T, Karube T, et al. Evaluation of the surgical approach based on impacted position and direction of mesiodens. J Oral Maxillofac Surg Med Pathol 2023;35:23-9. https://doi.org/10.1016/j.ajoms.2022.07.015
  8. Yamamoto A, Hanazawa Y. An effective mesiodens extraction method involving an intraoral approach through the nasal floor bone. Oral Sci Int 2019;16:193-5. https://doi.org/10.1002/osi2.1025