Supernumery teeth can be defined as excessive quantity of teeth as compared to regular dentition. A 53-year-old male patient
visited Riyadh Elm University Muneseya campus with chief complaint was pain in lower anterior region, which included a mesiodens
having pain for one month. The diagnosis was mesiodens having root canal treatment and crown placed. Two methods are usually
adopted for the removal of the mesiodens; Extraction prior the formation of root and delayed removal after root formation of the
permanent incisors. Few extracts also indicate the removal of the mesiodens during early mixed dentition in relation to help
voluntary eruption and positioning of the anterior. The diagnosis was mesiodens having root canal treatment and crown placed.
Treatment included two options, with extraction and orthodontic treatment being one option, and root canal retreatment, post and
core with crown being the second. The effectiveness of the management lies in the proper evaluation and management of the
patient for better outcome.
Keywords: Mesiodens, Extraction, orthodontic treatment, Dentition.