Hi 1. Yes it is an extra tooth in between central incisors i.e called supernumerary tooth(mesiodens). You have to go for extraction or removal of mesiodens as soon as possible and after that the central incisor which was labially placed might come to it place by itself within 6 -9 months if space is not loss...You have to wait and watch...you have to be on observation....then there is no need of braces or orthodontic treatment. 2. If the space is lost already then on the basis of space analysis we will proceed for further treatment.

1. Orthodontic treatment with Metal braces are charged as minimum 25-30k Ceramic 35k and Invisalign for 80k minimum. 2. Tooth extraction is needed to create space for teeth to be moved in correct positions. For assessing that, we need to do thorough examination of face, teeth, jaw and xrays. can not be judged by single photo. 3. Braces treatment takes 18-24 months approximately. you have to attend one appointment in 1 month. 4. Negative impacts of mesiodens: Crowding, Difficulty in cleaning teeth, gum diseases, cavities, premature loosening of teeth, chewing difficulties & aesthetic.

dear patient by your gross clinical picture it is evident yhat you have one extra teeth present between upper front teeth which should have been extracted long back. but now spacings have developed due to extra teeth. we need to immediately remove the extra teeth irrespective of you go for tratment or not. next if you are willing for orthodobtic treatment cost of braces range from 5000 to 50000. depending upon your budget a d finacial constrain. if gap is less than 2 mm u can try conservative management like laminates.

Hi 1. The cost varies depends on type of braces you choose **Metal braces....Rs.25k_30k **Ceramic (Tooth coloured)...Rs.40k **Lingual braces ...Rs 1 lakh 40k The movement will be same in all braces....The choice of braces will depends on your affordibility 2. you need to go for complete clinical and radiological examination to come in to conclusion whether there is need of removal of any othr teeth apart from mesiodens 3. It might take average of 12 _18 months  to complete the procedure ...you need to remove the mesiodens 4. You won't get any negative impacts if you mantain your oral hygiene well as per dentist instructiond

Should cost 25-30 thousand for the complete treatment. Should take approximately 15 months for the treatment No negative impact if you maintain hygiene.