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Volume 7 Issue 2 (February, 2019)

Case Reports

A Rare Case Report of Double Teeth/Fusion in Primary Dentition - Review and Management
Ramachandra Jaya Agali, Nidhi.K.Nihal, Miloni S Vora

Gemination and fusion are most commonly seen anomalies in shape of teeth in day to day dental practice. Distinction between these two is always challenging. Fusion is when two tooth buds fuse to make a large tooth, while gemination is an anomaly exhibiting two joined crowns and a single root. Odontogenic anomalies can occur as a result of conjoining or twinning defects. These include fusion, gemination and concrescence. The process of odontogenesis cannot be seen, therefore fusion and germination seems to be equivalent. This case report is of a boy aged-5-year who visited private dental clinic with a complaint of decayed upper front teeth. On clinical examination, the patient was diagnosed with ECC (Early childhood caries) and presence of fusion between primary upper left central incisor (61) and a supernumerary tooth. Radiographic analysis showed presence of a two roots with two root canals and external root resorption. The case was discussed and treatment planning was done to extract the tooth as a result of resorption in the apical region. The purpose of this report is to highlight the importance of diagnosing dental anomalies in the primary dentition, so as to organize a conservative individualized treatment plan to prevent complications during the child’s formative years. Key words: Primary double teeth, Fusion, Germination, Primary teeth.

 
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