IJRR

International Journal of Research and Review

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Year: 2026 | Month: August | Volume: 13 | Issue: 8 | Pages: 116-120

DOI: https://doi.org/10.52403/ijrr.20260812

Conservative Management of a Fused Maxillary Lateral Incisor with a Supernumerary Tooth Associated with Chronic Periapical Abscess: A Case Report

Dr. Mansi Rastogi1, Dr. Prasannalatha Nadig2, Dr. Jayalakshmi K B3, Dr. Sujatha I4

1,2,3,4Department of Conservative Dentistry and Endodontics,
Krishnadevaraya College of Dental Sciences, Rajiv Gandhi University of Health Sciences, Bangalore, India.

Corresponding Author: Dr. Mansi Rastogi

ABSTRACT

Fusion is an uncommon developmental anomaly resulting from the union of two adjacent tooth germs during odontogenesis, producing variations in crown and root morphology that can complicate diagnosis and treatment. The intricate root canal anatomy associated with fused teeth presents significant challenges for endodontic therapy, often necessitating meticulous treatment planning. This case report describes the diagnosis and multidisciplinary management of a fused maxillary lateral incisor and a supernumerary tooth presenting with pulpal and periapical involvement. This report emphasizes the importance of accurate diagnosis, individualized treatment planning, and a conservative approach in achieving predictable outcomes when managing fused teeth.

Keywords: Tooth fusion; Developmental dental anomaly; Supernumerary tooth; Endodontic treatment; Restorative management.

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