Garvey recommended monitoring of mesiodens in the following situations; satisfactory eruption of the succeeding teeth, absence of any associated pathologic lesions and risk of damage to the vitality of the related teeth. It has also been recommended to keep unerupted symptomless mesiodens, which do not affect the dentition. These teeth, which are usually found by chance, are better left in place under observation . Clinician should consider patient condition in
the final decision, however a recent study of Yagüe-García et al [65] emphasized that the early removal of the supernumerary teeth in order to prevent complications is the treatment of choice.