The Journal the presence of permanent tooth buds should be confirmed . If the fused teeth are carious , restoration should be done and if they are free from caries , they may be retained as such and proper oral hygiene instructions are given . If the tooth is pulpally involved , endodontic treatment is recommended [ 12 ]. Periodic long-term follow-ups are required in the management of fusion .
Conclusion
Fused teeth are frequently observed during routine oral examinations . A thorough clinical and radiographic evaluation is essential to confirm its presence in the primary dentition . In cases where underlying permanent teeth are missing , primary teeth should be retained till their shedding followed by rehabilitation in edentulous areas . Fused primary teeth present several problems to the clinician . Since exfoliation times are usually different for each tooth involved in the fusion , consideration should be given to the variations in root resorption .
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