Palatal Approach for Extraction of an Inverted Impacted Supernumerary Tooth in the Maxilla: A Case Report and Technical Considerations

Background Supernumerary teeth (ST), a developmental dental anomaly, frequently occur in the maxillary anterior region and may necessitate surgical intervention due to complications such as adjacent tooth displacement or root resorption. Case Presentation Cone-beam computed tomography (CBCT) identified an inverted supernumerary tooth within the nasopalatine canal, prompting extraction via a palatal approach. During the procedure, a deviation in positioning resulted in damage to the nasal mucosa, which was promptly managed with good recovery. Conclusion Preoperative CBCT planning and multidisciplinary coordination are critical for safe extraction, while minimally invasive techniques reduce complications in complex cases.