case_images: PMC4086546_01
case_images: Intraoral photograph showing Ellis class IV fracture of
  21 and palatal swelling with pus discharge (black arrow)
case_images: ijcpd-02-030-g001.jpg
case_images: PMC4086546_01_ijcpd-02-030-g001.jpg
case_images: F1
case_images: On clinical examination, Ellis class IV fracture was found with 21 and a palatal swelling with pus discharge (Fig. 1).
case_images: Periapical radiograph showing cystic lesion in relation
  to 21 (black arrow) and 'mesiodens' like supernumerary tooth
  placed in the mid-palatal region, close to the root apex of 21(red
  arrow)
case_images: ijcpd-02-030-g002.jpg
case_images: PMC4086546_01_ijcpd-02-030-g002.jpg
case_images: F2
case_images: Periapical radiographic examination revealed a large periapical radiolucency lined by a thin radiopaque line with respect to 21 (Fig. 2). Surprisingly there was a small tooth like structure found close to the root apex of the 21, which was inverted, root of that tooth found to be dilacerated (Fig. 2).
case_images: Photograph showing surgical exposure of the cystic
  lesion of 21. Root apex and extruded gutta percha can be seen
  in cystic cavity (black arrow)
case_images: ijcpd-02-030-g003.jpg
case_images: PMC4086546_01_ijcpd-02-030-g003.jpg
case_images: F3
case_images: For apicectomy of 21 labial approach was used (Fig. 3) and as the mesiodens was placed palatal, palatal entry was used for its removal (Fig. 4).