A 3-year-old boy with attention deficit and autism has several incipient caries.  Panoramic X-ray reveals that two of mesiodens (Fig.1 *) block eruption of the upper central incisors (1), as compared to the lateral ones (2).  When is the best time to extract the mesiodens?

When to Remove Next

Xin Wei, DDS, PhD, MS 1st edition 10/27/2017, last revision 08/25/2018