@article { author = {Ghislanzoni, Luis Huanca and Berardinelli, Frederick and Tagliatesta, Costanza and Lucchese, Alessandra}, title = {Management of Complicated Crowding and Upper Midline Shift Associated With an Impacted Mesiodens: A Case Report with 2 years Follow-Up}, journal = {Iranian Journal of Orthodontics}, volume = {12}, number = {2}, pages = {1-10}, year = {2017}, publisher = {Iranian Association of Orthodontists}, issn = {1735-5087}, eissn = {2383-3491}, doi = {10.5812/ijo.8076}, abstract = {Introduction: Mesiodens is the most common type of supernumerary tooth with proportion of males: females of 2: 1. The etiology of this anomaly is various and includes both genetic and environmental factors, syndromic conditions and disturbances in dental development.Case Presentation: A palatally positioned maxillary midline mesiodens was incidentally found during x-ray check-up in a 14-year-old female. It was associated with major crowding and a huge upper midline shift. The oral surgeon did not deem prudent a surgical access due to crowding. Patient was treated with screw-borne active anchorage, all four first bicuspids extracted, braces bonded on both arches and consequent mesiodens surgery removal. After alignment a safe palatal surgical access was available. Satisfactory functional and esthetic results were achieved and stable at a 2-year follow-up.}, keywords = {Mesiodens,Screw,Born Anchorage,Multidisciplinary Treatment}, url = {https://www.ijorth.com/article_245716.html}, eprint = {https://www.ijorth.com/article_245716_7dd647d799c0099a5da4ecab18d4453f.pdf} }