DOI: 10.36347/sjds.2020.v07i07.002

Pages: 92-94

A mesiodens is the most common type of supernumerary tooth which may remain impacted in the maxilla to cause a variety of complications such as failure of eruption or ectopic eruption and root resorption of associated permanent teeth, formation of cystic lesions or perforation of nasal floor and eruption into the nasal cavity. Cone beam computed tomography is the radiograph of choice for the exact localization of mesiodens and treatment planning. This case report presents a rare case of a seven year old boy in which a labially impacted inverted mesiodens was perforating the nasal floor and causing pain in anterior maxillary region. A labial crevicular approach was employed for the surgical extraction of the mesiodens with satisfactory outcome and no adverse effects.