Pediatric Dentistry · single question

On a radiograph, an impacted supernumerary tooth (mesiodens) is identified in a child. What is the standard approach when it is displacing or delaying eruption of adjacent permanent incisors?

  1. Surgical extraction during the mixed dentition stage
  2. No treatment under any circumstances
  3. Orthodontic alignment into the arch as a functional tooth
  4. Wait until all permanent teeth have erupted before any action
Show answer and explanation

Correct answer: A. Surgical extraction during the mixed dentition stage

A mesiodens that is impeding or displacing the eruption of adjacent permanent central incisors is generally extracted during the mixed dentition stage, helping minimize disturbance to normal incisor eruption and alignment.

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