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Case Reports in Dentistry
Volume 2014 (2014), Article ID 503478, 6 pages
http://dx.doi.org/10.1155/2014/503478
Case Report

A Fused Maxillary Central Incisor and Its Multidisciplinary Treatment: An 18-Year Follow-Up

1Pediatric Dental Unit, Servei d’Odontologia, Hospital Universitari Sant Joan de Déu. UB, Esplugues de Llobregat, 08950 Barcelona, Spain
2Periodontics Unit, Departament d’Odontostomatologia, Universitat de Barcelona, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
3Endodontics Unit, Departament d’Odontostomatologia, Universitat de Barcelona, L’Hospitalet de Llobregat, 08907 Barcelona, Spain

Received 22 November 2013; Accepted 24 December 2013; Published 11 February 2014

Academic Editors: M. Machado, D. Ram, and J. J. Segura-Egea

Copyright © 2014 Lluís Brunet-Llobet et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fused teeth may cause aesthetic, spacing, periodontal, eruption, and caries problems. The present case report describes a 7-year-old boy patient with a chief complaint of unerupted maxillary incisor. Radiographic examination indicated a fused tooth which had two fused roots but two independent root canals. A complex management of a fused tooth is really difficult to standardize. In this case an orthodontic, endodontic, and surgical treatment (intentional replantation) allowed the tooth to be retained until 18 years following intervention. Maintenance of the root and alveolar bone in young adults at least until full skeletal maturation should be the main treatment objective.