Mesiodens - etiology, prevalence, diagnosis and management

  • Ch. Rehan Qamar
  • Javed Iqbal Bajwa
  • Muhammad Imran Rahbar
Keywords: Supernumerary teeth, Dental disturbances, Supplemental teeth


Introduction: Mesiodens is a supernumerary tooth located in the premaxilla between the two central incisors that causes a variety of dental problems such as impaired dentofacial aesthetics, malocclusion, and sometimes may lead to cyst formation. The prevalence of mesiodens ranges from 0.15 % to 1.9 %. The current literature review focuses on the etiology, prevalence, diagnosis and management of this problem.

Material and Methods: Several electronic data bases were selected. Hand searching was done to short list relevant articles. A total of 65 studies were initially retrieved out of which 53 relevant studies were selected for the review.

Results: Mesiodens is the most common type of supernumerary tooth that may cause impaired dentofacial esthetics and malocclusion. Males are more prone to be affected than the females.

Conclusions: Mesiodens is the most common reported type of supernumerary tooth occurring in permanent dentition. An in-depth evaluation of mesiodens would be helpful to develop significant clinical management of the affected patients.

Author Biographies

Ch. Rehan Qamar
BDS, FCPS. Associate Professor, University College of Dentistry, The University of Lahore.
Javed Iqbal Bajwa
BDS, Mphil (Oral Biology). Assistant Professor (Oral Biology), Punjab Medical and Dental College, Faisalabad.
Muhammad Imran Rahbar
BDS, FCPS. Assistant Professor, Fatima Memorial College of Medicine and Dentistry, Shadman, Lahore.
How to Cite
Qamar, C. R., Bajwa, J., & Rahbar, M. I. (2013). Mesiodens - etiology, prevalence, diagnosis and management. Pakistan Orthodontic Journal, 5(2), 73-76. Retrieved from
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