PMC3283967_01
Caries observed on buccal surface of fused 9 and 10 teeth in clinical examination and OPG radiography
DRJ-9-107-g001.jpg
PMC3283967_01_DRJ-9-107-g001.jpg
F1
In panoramic radiography and clinical examination, caries was observed on labial and palatal surface of fused 9 and 10 teeth [Figure 1].
Two fused teeth with two distinct canals with one pulp chamber in preapical radiography
DRJ-9-107-g002.jpg
PMC3283967_01_DRJ-9-107-g002.jpg
F2
Preapical radiographic observation also showed that the two fused teeth had two distinct canals with one pulp chamber [Figure 2].
Pretreatment view of fused maxillary incisors (7 and 8 and also 9 and 10 teeth)
DRJ-9-107-g003.jpg
PMC3283967_01_DRJ-9-107-g003.jpg
F3
The width of fused teeth of 7 and 8, and 9 and 10 were 11 and 14 mm, respectively [Figure 3].
The diastema between fused teeth was closed using composite resin (Point 4, Kerr, USA)
DRJ-9-107-g004.jpg
PMC3283967_01_DRJ-9-107-g004.jpg
F4
Diastema between the fused teeth was closed [Figure 4].
Replacement of new lateral tooth between fused teeth (7and 8) and 6 tooth using fiber reinforced composite resin system
DRJ-9-107-g005.jpg
PMC3283967_01_DRJ-9-107-g005.jpg
F5
For this, the fused teeth were striped to provide the space required [Figure 5]. One millimeter of the distal of the fused teeth (9 and 10) which had 2 mm diastema was closed and the 22 tooth which was in cross-bite position was reshaped [Figure 5, right]. The contours of the teeth were designated by lines made by thin tapered bur (D and Z, Germany) [Figure 5, right]. For providing the length difference in the central and the lateral teeth, the incisal edge at the distal sides of the two fused teeth were reshaped by shortening of them [Figure 5, right].
Replacement of three mandibular teeth with two teeth by rochett bridge
DRJ-9-107-g006.jpg
PMC3283967_01_DRJ-9-107-g006.jpg
F6
As there was space for two teeth the three missing mandibular teeth in anterior segment were replaced with two teeth by rochett bridge [Figure 6].
Post-treatment intraoral view of the fused maxillary and missing mandibular teeth
DRJ-9-107-g007.jpg
PMC3283967_01_DRJ-9-107-g007.jpg
F7
Post-treatment intraoral view of the maxillary and mandibular central incisors is shown in Figure 7.