A supernumerary tooth generally additional tooth found in any region of the arch. They are usually lead to responsible for disorders such as delayed tooth eruption, tooth malposition, or associated pathologies such as dentigerous cyst, requiring surgical intervention. Premolar region supernumerary teeth are often interfere with space closure and implant placement for orthodontic treatment procedure. Early diagnosis , then early removal prior to commencing orthodontic treatment is often recommended. In our case report we present surgical removal of supernumerary premolar tooth in order to aid ongoing orthodontic treatment.