title: Treatment of a fused/geminated tooth: a multidisciplinary conservative approach.
abstract: OBJECTIVE
  To report a multidisciplinary treatment of gemination/fusion of the left maxillary first incisor.
  
  
  METHODS
  An 11-year-old boy presented to our clinic with the chief complaint of an unpleasant appearance of his anterior teeth. Clinical and radiographic evaluation revealed gemination/fusion of the left maxillary first incisor combined with an Angle's Class II relationship (skeletal), retruded mandible, deep bite, short lower face height, and proclinaion of the maxillary incisors. The multidisciplinary approached treatment included orthodontic treatment engaged with root canal treatment of the left maxillary first incisor followed by periodontal surgical separation of the mesial root of the left maxillary first incisor and restoration of the crown using resin restoration.
  
  
  CONCLUSIONS
  Tooth shape anomalies in general dental practice may be rare, but the dentist should be aware of the nature of the problems encountered and the specific treatment needs. The treatment may be complex and contain various treatment protocols that may include interdisciplinary endodontic, surgical, and periodontal interventions.
authors.affiliation: Department of Orthodontics, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Dan
authors.initials: D
authors.lastname: Oelgiesser
authors.forename: Roni
authors.initials: R
authors.lastname: Zyc
authors.forename: Dor
authors.initials: D
authors.lastname: Evron
authors.forename: Gilad
authors.initials: G
authors.lastname: Kaplansky
authors.forename: Liran
authors.initials: L
authors.lastname: Levin
mesh_terms: D002648:Child; D003746:Dental Enamel Proteins / Q000627:therapeutic use; D003793:Dental Restoration, Permanent / Q000379:methods; D005147:Facial Bones / Q000002:abnormalities; D005671:Fused Teeth / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007180:Incisor / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D008312:Malocclusion, Angle Class II / Q000150:complications*; D008334:Mandible / Q000002:abnormalities; D008437:Maxilla; D009971:Orthodontics, Corrective; D010348:Patient Care Team; D011859:Radiography; D012390:Root Canal Therapy; D014081:Tooth Extraction; D014092:Tooth Root / Q000002:abnormalities* / Q000601:surgery
chemical_list: D003746:Dental Enamel Proteins