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Gemination or fusion is a rare occurrence in the mandibular posterior teeth. The aim of this article is to describe the problems encountered and the strategy employed in treating such cases. A 34 years old patient came with the complaint of spontaneous and radiating pain in the right mandibular posterior region. The tooth in concern was an anomalous 'double' second mandibular molar diagnosed as having necrotic pulp with chronic apical abscess of endodontic origin. The present case emphasizes the importance of identifying anatomical anomalies during treatment of fused teeth with supernumerary tooth, and the need for the use of advanced imaging modalities like CBCT which is a critical aid in the diagnosis of such cases. Fused teeth can be managed quite efficiently by an overall combined treatment including both endodontic and periodontal therapy.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612786PMC

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Article Synopsis
  • Supernumerary teeth are additional teeth that can appear anywhere in the mouth and may cause swelling; this case highlights a rare instance of one found in the horizontal plate of the palatine bone.
  • A 10-year-old boy presented with a bony hard swelling in his palate, which was confirmed via a CT scan to be an impacted supernumerary tooth that was successfully extracted through surgery.
  • The case underscores the importance of considering impacted supernumerary teeth in the diagnosis of oral swellings, particularly in the posterior hard palate.
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