PENATALAKSANAAN MESIODENS PADA ANAK DENGAN KELAINAN JANTUNG KONGENITAL DEFEK SEPTUM VENTRIKEL (Laporan Kasus)

Mesiodens is supernumerary teeth which is commonly found and located in midline premaxilla. The supernumerary teeth may cause clinical disorders, such as delayed eruption and malposition of permanent teeth, therefore early diagnosis and intervention is very important. Ventricular Septal Defect (VSD) is a congenital heart disease which frequently occurred in children. Dental treatment in children with heart diseases should be done carefully since there is higher risk of developing on bacterial endocarditis. Dentist should know the contraindication of dental treatment that needs prophylactic antibiotics as suggested by American Heart Association. A 6 years 8 months boy who suffered from VSD came to Pediatric Dental Clinic at Faculty of Dentistry University of Indonesia. In the examination we found impacted mesiodens with inverted position which has conical shape at regio 51. The possible etiology of mesiodens in this patient is x-linked dominant with incomplete penetration. After consultation with Pediatric Cardiologist and Oral Surgeon, the odontectomy was conduted with prophylactic cephadroxyl. There was no signs of bacterial endocarditis after the odontectomy.