Bilaterally erupted conical and tuberculate mesiodentes

Supernumerary tooth is a developmental anomaly seen in the oral cavity and has been attributed to arise from multiple etiologies. A mesiodens is a supernumerary tooth seen in the midline of the maxillary dental arch. It can cause an ectopic or delayed eruption of the maxillary central incisors, alter the occlusion, compromise esthetics and may also lead to the formation of dentigerous cysts. It mainly arises in three different anatomical forms, i.e., conical, tuberculate, or supplemental mesiodens. It may arise unilaterally or bilaterally, or as singular or multiple supernumerary teeth. This paper reports a rare case of bilateral mesiodentes of conical and tuberculate types in the mixed dentition period while emphasizing on early radiographic diagnosis and management.