This 5-year old patient was referred for evaluation of mesioden between his upper central incisors. It was inverted vertically with direction of eruption into the nasal floor.
A diagnostic CBCT was done to properly diagnose the extent of the mesioden, its position, and also how to approach their removal. Under IV sedation and local anesthesia, through a palatal approach, the mesioden was localized and gently removed. Resorbable sutures were placed for closure with minimal discomfort and no swelling after procedure.