A 27-year-old female patient visited the dentist with a toothache in her lower left back teeth for one month. Upon examination, the dentist found a periodontal pocket between teeth 36 and 37, with tooth 37 being loose and tender. Tooth 37 also showed signs of fusion with an extra tooth. Due to the improper size and positioning of the fused teeth, there was a gap between the first and second molars, causing localized periodontitis and a periapical abscess. The patient opted to have tooth 37 extracted. Examination of the extracted tooth revealed it was a fused second molar with a supernumerary tooth, which is a rare occurrence of fusion in the permanent posterior teeth.

1. case presentation<br />Dr PAVAMAN GOTKHINDI . BDS SHAMBHAVI DENTAL CLINIC. . Jamkhandi <br />A 27 yr old female patient visited my clinic with history of tooth ache since 1 month,in the lower left back region of mouth. O/E a periodontal pocket was present between tooth no 36 and 37.<br />Lower second molar(37) was mobile(gr2) and was tender on purcussion. Furthermore 37 was showing signs of fusion. Because of the improper size and positioning of tooth there was a diastema between first and second molars,which caused the localised periodontitis leading to periapical abscess.<br />Two treatment possibilities were explained, which are-<br /> - root canal treatment with crown to eliminate diastema.<br /> - extraction followed by fpd.<br />Patient opted second treatment. The tooth no 37 was extracted.<br />Examination of extracted tooth revealed , it was a fused second molar with a supernumerary tooth. Fusion is a rare condition in permanent dentition that too in posteriors.<br /> •occlusal view of fused second molar(37). <br />•See the incomplete fusion of crowns,with supernumerary tooth resembling premolar.<br />• Buccal view<br />• from the above picture it is evident that the root of supernumerary tooth is fused with the mesial root of second molar.<br />•Rediographic evaluation-<br />The radigraphic examination revealed that the fusion was incomplete with seperate pulp chambers of second molar and supernumerary tooth.<br />• To conclude, it was a rare case of Fusion affecting the lower second molar unilaterally.<br />THIS IS A MS DOC FILE CREATED ENTIRELY ON MY ANDROID PHONE.<br />. pavaman<br />