The multidisciplinary management of a fused maxillary central incisor with a talon cusp


Dr Sezin Ozer
Department of Pediatric Dentistry
Faculty of Dentistry
Ondokuz Mayıs University
55139 Atakum


Background:  A fused maxillary incisor required complex multidisciplinary treatment to preserve health and restore aesthetics. This report presents a rare case of a dental fusion between the maxillary right central incisor and a supernumerary tooth of a 9-year-old male patient with the chief complaint of the presence of a large anterior tooth.

Methods:  Radiographic investigation and computerized tomography indicated there was no connection between pulp chambers. After dividing the crown with a diamond bur, the supernumerary tooth was removed and the diastema between the maxillary central incisors was closed by orthodontic treatment. The tooth was then restored with composite resin.

Results:  The maxillary right central incisor was still healthy after a follow-up examination period of 24 months.

Conclusions:  A multidisciplinary approach with the cooperation of different practitioners can contribute to the success of a treatment plan.