Early Mesiodens Removal Protocol Gains Evidence, May Shift Pediatric Dental Practices

Event summary

  • A study published in the Journal of Oral and Maxillofacial Surgery (JOMS) suggests early removal (ages 6-7) of a mesiodens (extra front tooth) is optimal for many children.
  • The study, led by Makoto Adachi, DDS, PhD, reviewed existing research to determine the best timing for mesiodens removal.
  • Early removal, before permanent teeth are fully formed, can prevent more extensive corrective treatments later.
  • The recommendation is based on imaging showing potential interference with permanent teeth, not solely on age.

The big picture

This study highlights the increasing emphasis on preventative and early intervention strategies in pediatric dentistry. The findings could lead to a shift in standard practices, potentially reducing the need for more complex and costly corrective procedures later in life. The reliance on advanced imaging techniques like CBCT underscores the growing role of technology in personalized pediatric dental care.

What we're watching

Adoption Rate
The speed at which pediatric dental practices adopt this early removal protocol will depend on physician comfort levels and patient/parent acceptance, potentially impacting AAOMS training and guidelines.
Imaging Demand
Increased reliance on 3D imaging (CBCT) for mesiodens assessment will likely drive demand for these technologies in pediatric dental practices, benefiting equipment manufacturers.
Liability Exposure
How the evolving standard of care regarding mesiodens management will affect malpractice insurance rates for oral surgeons and pediatric dentists warrants monitoring.