Functional Restoration of a Fused Primary Mandibular Macromolar – A Case Report

Gemination and fusion are two rare entities which can be found in human dentition caused as result of aberration in any step of its development. Fusion mainly occurs in primary teeth with incisors and canines being the commonest location especially in the mandibular arch. In the literature, very few cases of fusion of posterior teeth have been reported along with being nonsyndromic and with a normally developing successional tooth. The present case report depicts one such case in which there is fusion between mandibular first molar with an atypical canine like tooth of primary dentition. The resultant tooth is large and had anomalous occlusal anatomy. The macromolar presented with caries which was removed and the tooth was treated endodontically and restored with a semi permanent restoration.