A radicular cysts are inflammatory cysts at the apices of teeth with necrotic pulp. A rare case report is presented of an individual with a radicular cyst involving treated mandibular molar along with impacted bilateral supernumerary premolars. A 24-year-old male patient reported to a private clinic with the chief complaint of irregularly placed upper and lower front teeth. Family, medical was non-contributory.

Patient has a history of undergoing root canal treatment 1 year back. Extra oral examination shows no gross asymmetry, straight profile, competent lips, and straight divergence as shown in the picture. Intra-oral examination reveals crowding in the upper and lower arches with Class II (end-on) molar and class I incisor relationship.