Management of supernumerary teeth depends
on the type and position of the tooth. Immediate removal of mesiodens is usually indicated
in the following situations; inhibition or
delay of eruption, displacement of the adjacent
tooth, interference with orthodontic appliances,
presence of pathologic condition, or
spontaneous eruption of the supernumerary
tooth. Munns [58] stated that the earlier the
mesiodens is removed, the better the prognosis.