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Case Reports in Dentistry
Volume 2013, Article ID 750107, 4 pages
Case Report

Molariform Mesiodens in Primary Dentition

1Department of Periodontology, Maitri Dental College, Chattisgarh, India
2Department of Prosthodontics, Al Jabal Al Gharbi University, Gharyan, Libya
3Department of Pediatric Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
4Vasant Dada Dental College, Kavalapur, Sangli, Maharashtra, India
5P.M.N.M. Dental College and Hospital, Bagalkot, Karnataka, India
6Department of Pediatric Dentistry, Dr. Hedgewar Dental College, Hingoli, Maharashtra, India

Received 6 February 2013; Accepted 6 March 2013

Academic Editors: I. Anic, P. G. Arduino, N. Brezniak, Y.-K. Chen, and E. F. Wright

Copyright © 2013 Sachin B. Mangalekar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch, and incidence of molariform mesiodens in the maxillary midline is rare in permanent dentition and extremely uncommon in primary dentition. A midline supernumerary tooth in the primary dentition can cause ectopic or delayed eruption of permanent central incisors which will further alter occlusion and may compromise esthetics and formation of dentigerous cysts. This paper reports a rare case of the presence of a molariform mesiodens in the primary dentition. On clinical and radiographic examination, flaring of the primary central incisors was seen, with a molariform mesiodens consisting of multiple lobes or tubercles on the occlusal surface with the well-formed root. The treatment plan consisted of the extraction of the supernumerary tooth and regular observation of permanent central incisors for proper eruption and alignment.