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.
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