Oral Rehabilitation of a Pediatric Dental Anomaly Patient with Supernumerary Teeth and Fusion: A Case Report

Authors

• Enas Almasri dr, Damascus University, Pediatric departmentFollow
• Mohamed Altinawi Prof., Damascus University, Pediatric department
• Shadi Azzawi Assistant Prof, Damascus University, Pediatric department
• Imad Katbeh Assist Prof., RUDN University, Pediatric Department
• Anas Abdo Assoc Prof., Damascus UniversityFollow

Abstract

Objective: Tooth fusion is an uncommon dental abnormality, occurring in 0.1% of permanent dentition. Fusion of a normal permanent tooth and a supernumerary tooth is unusual. This case report delineates a multidisciplinary strategy for the management of a child with a fused tooth and a concomitant supernumerary tooth. The objectif is to progressively illustrate the aesthetic and functional restoration of a smile impacted by a dental fusion abnormality.

Case Report: A 9-year-old boy was referred to the pediatric dental clinic with the chief complaint of a large upper anterior tooth. Intraoral and radiographic investigations showed fusion of the permanent maxillary right central incisor and a supernumerary tooth. Clinical therapy began with fused tooth hemisection and mesial supernumerary tooth removal, according to the treatment plan. After that, endodontic and orthodontic treatment restored function and look. Clinical and radiological examinations proved dental fusion and separated it from gemination and concrescence. The extra tooth required surgery for aesthetics. A pediatric dentist, endodontist, and orthodontist restored function and aesthetics to a fused permanent maxillary central incisor and supernumerary tooth. The thorough treatment tackles aesthetic and functional issues caused by fused and supernumerary teeth.

Outcomes: The sectioning of fused teeth may serve as an effective treatment for restoring both functionality and aesthetic appeal in patients with dental abnormalities. The extensive clinical and radiographic follow-up duration of 30 months proved the efficacy of this multidisciplinary oral rehabilitation, encompassing endodontics, oral and maxillofacial surgery, orthodontics, and pediatric dentistry. This method markedly improved the patient’s overall quality of life.

Recommended Citation

Almasri, Enas dr; Altinawi, Mohamed Prof.; Azzawi, Shadi Assistant Prof; Katbeh, Imad Assist Prof.; and Abdo, Anas Assoc Prof. (2026) "Oral Rehabilitation of a Pediatric Dental Anomaly Patient with Supernumerary Teeth and Fusion: A Case Report," International Arab Journal of Dentistry: Vol. 17: Iss. 2, Article 11.
DOI: https://doi.org/10.65314/2218-0885.1853
Available at: https://e-journals.usj.edu.lb/iajd/vol17/iss2/11