An individual’s facial and dental appearance influences their personality and social interaction to a great extent.(Ritter et al., 2006) The value of a captivating smile is undeniable. It plays a major role in building one’s self image and boosting self confidence.(Manjunath et al., 2014) Self perception of unattractiveness may lead to low self esteem and a vulnerability to depression. Malocclusion that affect anterior dental aesthetics have negative repercussions on daily living.(Hegde et al., 2010) Prescence of supernumerary teeth is one of the several causes for developing malocclusion.

Supernumerary tooth may be defined as one that is additional to normal series of dentition and can be found in almost any region of the dental arch.(Verma et al., 2012) They can be classified according to their morphology into four types–conical, tuberculate, supplemental and odontome (Mitchell, 1989) and their location as mesiodens, paramolar and distomolar.(Sharma, 2003) Primosch classified supernumeraries into two types according to their shape as supplemental and rudimentary.(Primosch, 1981) The presence of mesiodens can lead to local irregularities of which the most common are delayed eruption or impaction of adjacent teeth, displacement or rotation of adjacent teeth, development of dentigerous cysts, resorption of adjacent roots, crowding, midline diastema or maxillary incisors root dilaceration.(Lara et al., 2013)