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Gemination Or Fusion? A Diagnostic Dilemma

Jain AA,Munshi AK,Yeluri R*

In the primary dentition, little documentation of rare anomaly like fusion has been seen. This article presents the primary abnormalities of teeth i.e. Gemination and Fusion. It also highlights the presence of conjoined teeth in a 6 year old male child patient clinically presenting as gemination, but on radiographic evaluation turned out to be fusion. Clinically buccolingual groove with an increased mesio-distal coronal width was observed. Intraoral periapical radiograph revealed two fused crowns via dentine with single wide root canal and pulp chamber and the number of teeth in dental arch was less than the normal. So the clinico-radiologic correlation concluded it as fusion. Thus, it is very important for every dental professional to be familiar with dental developmental anomalies as their correct diagnosis would implicate a better prognosis.