The prevalence of supernumerary teeth in non syndromic South Indian paediatric population is 1.24% with slight male predilection and conical mesiodens being the commonest.

Laser is a desirable therapeutic alternative to correct soft tissue anomalies. It allows good control of haemorrhage with comfortable healing phase and appreciable satisfactory outcomes.

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Introduction: Recent developments in mechanotherapy and changes in concepts have reduced the need for extraction in several types of discrepancies.Case report: This case report explains a non-extraction treatment in a patient with severe anterior crowding with the use of a modified Hilger's Pendulum appliance. The patient showed unilateral half unit Class II molar relation on the left. The appliance was modified to cater to the treatment needs and activation was done unilaterally to achieve the desired results. Post distalization, fixed orthodontic treatment was initiated and crowding was relieved with levelling and aligning.Conclusion: An ideal overjet and overbite along with maintenance of the pleasing profile was achieved at the end of the treatment.