The Multidisciplinary Management of a Fused Maxillary Central Incisor with a Talon Cusp

Abstract

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. © 2012 Australian Dental Association.