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Management of impacted mesiodens causing tipping of maxillary central incisor: Rare case report

Supernumerary teeth are those which are in addition to the twenty deciduous and 32 permanent teeth. Mesiodens is the supernumerary tooth that is wedged in between the central incisors. They often cause serious esthetic and functional problems such as diastema, teeth migration, and mobility could transform into odontogenic pathologies similar to that with normal teeth. Management usually includes extraction, but when asymptomatic and patients wish they can be kept under periodic observation. The case reported here is a successful management of symptomatic impacted mesiodens causing mobility and pathologic migration of central incisor by transalveolar extraction.