DIAGNOSIS AND TREATMENT OF MESIODENS IN A PATIENT WITH SPECIAL NEEDS: CASE REPORT

Mesiodens is a supernumerary tooth located in the midline between the 2 maxillary central incisors, with varied morphology and undefined etiology, having a higher prevalence in mixed and permanent dentition of men and boys. This article reports a clinical case of a 7-year-old male patient that has attention deficit hyperactivity disorder (ADHD) and bipolar affective disorder under control, and he had mixed dentition, malocclusion, regular oral hygiene, and normal periodontal aspects. His main complaint was pain in element 64. After clinical examination, the patient was diagnosed as having erupted conical mesiodens. The treatment plan was established by means of radiographic examinations, medical release report, and complete blood count for mesiodens extraction, element 64 pulpectomy, and dental restorations. The patient continued the dental treatment, returning 6 days after the extraction for suture removal, and he was posteriorly referred to orthodontic treatment to correct the malocclusion.