Key Clinical Message Management of supernumerary teeth fused to the labial surface of Illuminator permanent maxillary central incisors would require a multidisciplinary approach comprising of endodontic treatment, periodontal recontouring, and cosmetic composite restoration.Abstract The reported cases of supernumerary teeth fused to the labial surface of maxillary central incisors are rare.Such cases need multidisciplinary approaches.Herein, management of a supernumerary tooth fused to the labial surface of a maxillary central incisor is reported.Due to the presence of a communication path between the root canal systems of the two fused teeth, root canal therapy was performed first for the maxillary left central TEA TREE OIL SOAP incisor and the supernumerary tooth.
The crown of the supernumerary tooth was then removed in a surgical setting while preserving the root to maintain the thin covering of alveolar bone and prevent future periodontal problems.Subsequently, an esthetic composite restoration was performed.