Abstract: Supernumerary tooth is a frequently seen developmental anomaly with a controversial debate on its multiple etiologies. They may either erupt into the oral cavity or remain embedded in the alveolar bone sequencing various complications to the developing dentition. Supernumerary teeth may be present in various forms at any region of maxilla or mandible. Certain supernumerary tooth resembling the orthodox shape and size of their adjacent permanent tooth are known as supplemental tooth. Underneath, is the case presentation of unusual location of supernumerary teeth located adjacent to maxillary lateral incisors bilaterally and its follow up of 6 years to check for any malocclusion or problems related with it.