A report of treatment of a fused permanent central incisor and supplemental lateral incisor.
A 9-year-old boy presented with a fused maxillary right permanent central incisor and displacement of the right permanent lateral incisor palatally. An unerupted supplemental maxillary left permanent lateral incisor was noted radiographically. The maxillary fused right permanent central incisor was sectioned under general anaesthesia. The distal portion was extracted as planned; a vital partial pulpotomy was carried out on the distal aspect of the retained portion. Fixed orthodontic treatment commenced after 28 months to align the maxillary anterior segment. After completion, the maxillary right permanent central incisor was built up with composite to resemble the adjacent incisor.


CONCLUSIONS
This case highlights the treatment options of a fused tooth and the need for multidisciplinary planning and treatment.
Ammari
Amera B
AB
Paediatric Dentistry Department, Glasgow Dental Hospital and School, 378 Sauchiehall Street, Glasgow G2 3JZ, UK.
Young
Rhona G
RG
Welbury
Richard R
RR
Fung
Diane E
DE
D002648:Child; D003188:Composite Resins; D003793:Dental Restoration, Permanent; D005671:Fused Teeth / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D007180:Incisor / Q000002:abnormalities*; D008297:Male; D008437:Maxilla; D009971:Orthodontics, Corrective; D011672:Pulpotomy; D014081:Tooth Extraction; D014096:Tooth, Supernumerary / Q000601:surgery
D003188:Composite Resins