A 22-year-old, female patient reported with complaint of poor esthetics. Her past medical, dental, personal as well as family histories were non-contributory. After performing thorough general and extra oral clinical examination under aseptic precautions, various orofacial abnormalities were noted down which included brachydactyly of a thumb and an index finger of upper extremities on right side [Table/Fig-1] and hypertelorism with frontal bossing and depressed nasal bridge [Table/Fig-2]. Intra oral examination revealed hyperplastic frenula [Table/Fig-3], high lingual frenal attachment with lobed tongue [Table/Fig-4], multiple supernumerary teeth and fused teeth [Table/Fig-5]. Moreover, radiographic investigations were done which showed supernumerary teeth, fusion of two teeth and alveolar clefts in OPG and IOPA [Table/Fig-6,​,7].7]. A hand and wrist radiograph showed defect in phalanges [Table/Fig-8]. Review of literature shows that the diagnosis is based on clinical findings [Table/Fig-9] [1]. There are total 13 types of Oro-Facial Digital Syndrome (OFDS) out of which clinical features of Type 1 and Type 2 must be ruled out properly.