The mesiodens corresponds to a number anomaly of dental development, which is formed between the upper central incisors. It is diagnosed by radiographic examination and the precise therapeutic option is extraction. The aim of this study is to review the different surgical techniques used in the extraction of intraosseous mesiodens by means of a review of the literature. Methodology: The collection of information was carried out through the search and selection of articles related to surgical techniques for the extraction of intraosseous mesiodens in the electronic databases PubMed, Google Scholar and Journal of Dental Research. The selection criteria taken into account were: age not older than 5 years, key words, human studies, impacted or retained mesiodens. From a total of 113 articles, 17 were chosen that are in accordance with the criteria of this research. Results and Conclusions: The free hand surgical approach has good results, but the use of surgical guides improves patient satisfaction, reduces operative time and difficulty of surgery and facilitates more precise osteotomies and incisions, without unnecessary tissue damage resulting in a more satisfactory postoperative improvement.