Management of Palatally Impacted Inverted Supernumerary Teeth: A Case Report

<p><strong><span lang="EN-GB">Abstract</span></strong></p> <p><strong><span lang="EN-GB">Mesiodens</span></strong><span lang="EN-GB"> refers to supernumerary teeth located in the anterior maxillary region. These additional teeth may either erupt into the oral cavity or remain impacted. The presence of mesiodens—whether erupted or impacted—can interfere with normal esthetics, occlusion, and masticatory function. Early diagnosis, particularly of impacted mesiodens, is crucial to avoid potential complications such as delayed eruption or displacement of adjacent permanent teeth, crowding, and cyst formation, which is one of the most frequently reported sequelae. The decision regarding the optimal timing for surgical removal is typically influenced by the patient’s age, stage of dental development, and the spatial relationship of the mesiodens with neighboring teeth. This article reports the clinical management of a rare case involving <strong>double mesiodentes</strong> in a pediatric patient, one of which was impacted and discovered incidentally during routine radiographic examination.</span></p>