Case of fused molars

A patient came to the clinic with pain in his upper right region of jaw. His molars were fused together. The extra tooth was removed and the patient was relieved of pain.Fused/geminated teeth may cause esthetic, spacing, periodontal, eruption and caries problems.Fusion is an abnormality of tooth development, defined as the union at the enamel, dentine, cementum or pulp level during different stages of odontogenesis of two or more separately developing contiguous tooth germs. When fusion takes place, the pulp chambers and root canals may either be joined or separated, depending on the stage of tooth development at the time of union. The process of tooth fusion involves epithelial and mesenchymal germ layers, usually resulting in irregular tooth morphology.