ABSTRACT
INTRODUCTION: 'Mesiodens' are the supernumerary teeth present in the midline of the maxilla between the two central incisors. These mesiodens are the most common supernumerary teeth and are usually responsible for eruption disturbance or delay of the maxillary anterior permanent teeth. The present study seeks to investigate the prevalence of mesiodens among school going children in Indore City, India. MATERIALS AND METHODS: The study was a retrospective collection of data to evaluate the prevalence of mesiodens among 3896 children, whose ages ranged between six and seventeen years. RESULTS: The results showed that males were affected approximately 1.2 times as frequently as females; 3.18% of the total screened population had mesiodens and among the affected population 4.03% had two or more mesiodens. Most of the mesiodens were conical in shape. The age, sex distribution, number of mesiodens per patient, shape, and direction of the eruption are presented in this study. CONCLUSIONS: The present study gives an insight into the prevalence of mesiodens among school going children of Indore city. A coincidental finding in our study has been the high risk of trauma associated with the occurence of mesiodens. This finding makes it mandatory to include mesiodens as a risk factor in traumatic dental injuries. Early diagnosis and management of these otherwise considered mild factors must be made mandatory in pediatric dentistry.
Subject(s)
Tooth, Supernumerary/epidemiology , Adolescent , Child , Early Diagnosis , Female , Humans , Incisor , India/epidemiology , Male , Maxilla , Prevalence , Retrospective Studies , Risk Factors , Sex Ratio , Tooth Extraction , Tooth Injuries/etiology , Tooth, Supernumerary/complications , Tooth, Supernumerary/surgeryABSTRACT
In facial nerve injury, the guidelines for treatment are time of onset, electrical responses, other concomitant damage such as CSF otorrhea or ossicular disruption, and associated infective conditions such as cholesteatoma. Four patients with CSF otorrhea responded well to conservative treatment, one patient needed postauricular mastoidectomy as there was an associated cholesteatoma and one required surgery when conservative treatment failed to stop the otorrhea. Two cases of deafness due to ossicular disruption were seen in the postoperative convalescent phase. Five other cases were discovered during routine examinations for conductive deafness. All seven patiens underwent surgery for incudostapedial joint separation.
