Non-Syndromic Impacted Supernumerary Tooth – A Case Report

Abstract

In the field of pediatric dentistry, we encounter plentiful abnormalities in the number, location, dimensions, shape, and eruption of teeth. The most common form is mesiodens, which can be solitary or paired, unerupted or impacted, and frequently lead to complications such as cyst formation, root resorption, rotation, and midline diastema. In the present case, mesiodentes were located in anterior maxilla, one of which erupted and the other was impacted and positioned inverted with respect to 11 that approximated the nasal floor. It was unintentionally detected during radiographic inspection and was surgically removed to prevent any complications. This case description is uncommon and complicated because the impacted mesiodens was positioned in a peculiar nasal location. Cone beam computed tomography was ascertained to be a helpful investigative tool in assessing the correlation of unusually impacted mesiodens to vital structures, thereby providing the best surgical method for its removal.