Multidisciplinary Management of a Permanent Central Incisor Fused With a Supernumerary Tooth: A Case Report Publisher

Summary: What happens when a child's teeth fuse? A study suggests fusion in children can complicate treatment plans due to esthetic and dental issues. Innovative approaches can help! #Dentistry #DentalHealth

Isaabadi M ; Yaghobee S ; Bolhari B ; Malekpour F
Source: Frontiers in Dentistry Published:2025

Abstract

Dental anomalies can be challenging for clinicians to diagnose and treat, such as fusion/gemination, which can be considered one of the most challenging anomalies to present a treatment plan for, due to esthetic, orthodontic, and periodontal problems they can cause in most cases. This case report describes an 8-year-old patient who complained of the unpleasant appearance of her right central incisor. Oral and radiographic examinations revealed a supernumerary tooth unilaterally fusing with the maxillary permanent central incisor. Two major factors in choosing a treatment plan in this case included: patient's age and presence of anomaly in the esthetic zone. This case report describes a treatment approach involving endodontic, periodontal, and restorative interventions for preserving a tooth in a child who could not undergo routine treatments such as implant placement due to incomplete growth of her dentoalveolar region, and bone deficiency caused by the dental anomaly. Copyright © 2025The Authors.