Careful clinical and radiographic evaluations of supernumerary teeth and macrodontia should always be thoroughly done, in order to detect their presence. It is a great challenge for the clinicians to decide timely management of supernumerary teeth, to prevent complications which are associated with them. The reported data on supernumerary teeth in primary dentition are less. The dental anomalies in primary dentition should be evaluated thoroughly. An early referral to a multidisciplinary clinic can be done in the patient’s best interest.