EC Dental Science

Aim: The present case study discusses available treatment options for fused teeth.

Background: Fusion and gemination are considered dental anomalies of form and may occur in the deciduous and permanent dentitions. It is important to monitor such anomalies, because geminated teeth often cause aesthetic problems and malocclusion, such as diastema, crowding, or protrusion of the teeth.

Case Description: A male patient of 11 years and 5 months came to the clinic with a chief complaint of “My teeth are crooked”. The patient had a class II malocclusion with fused teeth (lower left incisors). The treatment plan called for nonsurgical, non-extractive, orthodontic treatment with a transpalatal arch to derotate the upper first molars as well as cervical headgear for the distalization of the upper molars, followed by upper and lower fixed appliances. The fused teeth were maintained using interproximal reduction.

Conclusion: Diverse treatment approaches can be used for fused/geminated teeth, and esthetic considerations should be primary in choosing the appropriate therapy for patients with fused teeth.

Keywords: Orthodontics; Fused Teeth; Anomalies

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