title: Management of a fused central incisor in association with a macrodont lateral incisor: a case report.
abstract: Fusion is developmental anomaly of the dental hard tissue and is defined as the joining of 2 developing tooth germs resulting in a single large tooth structure. Different treatment methods can be used according to the requirements of the situation. The purpose of this case report was to present the multidisciplinary treatment of a patient who had a permanent maxillary left central tooth fused with a supernumerary incisor and a macrodont permanent maxillary right lateral incisor. In the radiographic evaluation, it was determined that the fused tooth had 2 separate roots. The supernumerary tooth was extracted after hemisection, and endodontic treatment was performed on the remaining portion. The distal side of the macrodont lateral incisor was recontoured, and the right central incisor was reshaped with a strip crown to provide aesthetic appearance and to gain space for the alignment of teeth. Following the restoration of the incisors, orthodontic treatment was provided.
authors.affiliation: Department of Orthodontics, Gulhane Military Academy Center of Dental Sciences, Ankara, Turkey. senkaracay@yahoo.com
authors.forename: Seniz
authors.initials: S
authors.lastname: Karacay
authors.forename: Gunseli
authors.initials: G
authors.lastname: Guven
authors.forename: Ramazan
authors.initials: R
authors.lastname: Koymen
mesh_terms: D000293:Adolescent; D003442:Crowns; D005671:Fused Teeth / Q000150:complications / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007180:Incisor / Q000002:abnormalities*; D008297:Male; D008437:Maxilla; D009811:Odontometry; D009971:Orthodontics, Corrective; D010348:Patient Care Team; D012390:Root Canal Therapy; D014081:Tooth Extraction; D014096:Tooth, Supernumerary / Q000150:complications / Q000601:surgery*