Management of an inverted impacted mesiodens, associated with a partially erupted supplemental tooth—a case report

Ectopically impacted supernumerary teeth are common anomalies of the maxillofacial complex. Most of such cases are usually asymptomatic and are diagnosed on routine clinical or radiographic examination. Associated complications include crowding, displacement, root resorption, or delayed eruption of adjacent teeth, diastema, or dentigerous cyst formation. To minimize these complications, early diagnosis, and appropriate management of the supernumerary teeth is essential for a more favorable prognosis in order to prevent aesthetic and occlusal problems. In this article, we discuss a case with two supernumerary teeth, one being an inverted impacted mesiodens, placed high in the palate and the other a partially erupted, rotated mesiodens in maxillary left anterior region associated with delayed eruption of permanent maxillary left central incisor.