Abstract
Dental anomalies can be challenging for clinicians to diagnose and treat, such as fusion/gemination, which can be considered one of the most challenging anomalies to present a treatment plan for, due to esthetic, orthodontic, and periodontal problems they can cause in most cases. This case report describes an 8-year-old patient who complained of the unpleasant appearance of her right central incisor. Oral and radiographic examinations revealed a supernumerary tooth unilaterally fusing with the maxillary permanent central incisor. Two major factors in choosing a treatment plan in this case included: patient's age and presence of anomaly in the esthetic zone. This case report describes a treatment approach involving endodontic, periodontal, and restorative interventions for preserving a tooth in a child who could not undergo routine treatments such as implant placement due to incomplete growth of her dentoalveolar region, and bone deficiency caused by the dental anomaly.