ABSTRACT
Anomalies of the dentition present real challenges to the dental practitioner. The occurrence of multiple supernumerary teeth in the absence of an associated systemic condition or syndrome is considered as a rare phenomenon. Here, we discuss a case of four supernumerary teeth in one maxillary quadrant with a fusion of supernumerary tooth to maxillary permanent central incisor, which was evident on radiological and clinical examination. Various radiographic views including intraoral periapical radiograph, maxillary occlusal radiograph, orthopantomograph, and cone-beam computed tomographic (CBCT) imaging were done to identify and locate the presence of supernumerary and supplemental teeth. The present case emphasizes the importance of different radiographic views and modalities in correct identification of the dental anomalies and thereby providing a prompt diagnosis and treatment as the exact identification of supernumerary teeth and differentiating it from permanent tooth is of prime importance in treatment planning and management.