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

Mahdi Isaabadi, Siamak Yaghobee, Behnam Bolhari, Fatemeh Malekpour — Mon, 20 Oct 2025 04:54:12 +0000

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.

Frontiers in Dentistry

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