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 [64].
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.