Abstract :An alteration in the path of eruption of teeth or non-eruption is a frequent problem encountered in children. This is mainly seen in the upper incisors giving an unpleasant aesthetic and functional problem. This may be commonly attributed to the presence of a supernumerary tooth. Mesiodens is the most commonly occurring supernumerary tooth present in the premaxilla between the two central incisors either labially or palatally placed, erupted or impacted. This case report will discuss the surgical removal of an impacted, inverted, obliquely placed and dilacerated mesiodens in an 8 year old male child.