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Title: Endodontic management of mandibular central incisor fused to a supernumerary tooth associated with a talon cusp: a case report. Author: Sachdeva GS, Malhotra D, Sachdeva LT, Sharma N, Negi A. Journal: Int Endod J; 2012 Jun; 45(6):590-6. PubMed ID: 22394311. Abstract: AIM: To report the successful non-surgical endodontic management of a mandibular central incisor fused to a supernumerary tooth associated with a talon cusp. SUMMARY: Fusion and gemination are developmental anomalies of teeth that may require endodontic treatment. In this article, a case of successful endodontic management of a permanent mandibular right central incisor fused to its supernumerary counterpart associated with a talon cusp is reported. The incidence of fusion in mandibular anteriors is rare. A search of the literature failed to reveal any reports on the fusion of a permanent mandibular central incisor with its supernumerary counterpart associated with a talon cusp. Successful non-surgical endodontic management of a case is reported. KEY LEARNING POINTS: • Fused and geminated teeth requiring endodontic treatment present diagnostic and technical challenges. • An exact differentiation between fusion and gemination may not be critically important for treatment. • The use of an operating microscope for detection of additional root canal orifices in complicated cases is recommended.[Abstract] [Full Text] [Related] [New Search]