# Surgical Approach to Bilateral Impacted and Inverted Mesiodentes in a Nonsyndromic Pediatric Patient: A Case Report and Brief Literature Review

## TL;DR

This case report describes the surgical removal of two unusual extra teeth in a child's upper jaw, leading to a successful outcome.

## Contribution

The paper presents a rare case of bilateral inverted mesiodentes in a nonsyndromic pediatric patient and advocates for early surgical intervention.

## Key findings

- Bilateral impacted and inverted mesiodentes were successfully managed through surgical extraction and orthodontic treatment.
- Timely surgical intervention led to satisfactory functional and aesthetic outcomes for the patient.
- Periodic clinical and radiographic evaluations are emphasized for early detection and management of supernumerary teeth.

## Abstract

Supernumerary teeth (ST) are a form of abnormal dental development and may not always present with symptoms. This case report discusses an eight-year-old child who presented with spacing in the maxillary anterior region. Radiographic examination revealed bilateral impacted and inverted mesiodentes, which were successfully managed through surgical extraction and orthodontic treatment. The postoperative course was uneventful, resulting in satisfactory outcomes for both the patient and his parents. We emphasize the importance of periodic check-ups during the early stages of tooth exfoliation, including proactive clinical and radiographic evaluations for the early diagnosis and management of multiple ST. Along with a review of the literature, this report suggests that a timely surgical approach should be indicated to effectively address the patient’s condition, ensuring optimal outcomes with minimal intervention.