Notice: Undefined offset: 1 in /var/www/ on line 103
Endodontic Treatment and Aesthetic Management of Gemination in Primary Central Incisor with Two Root Canals
  • P-ISSN 2277-3525 E-ISSN 2582-7901

Journal of Multidisciplinary
Dental Research


Journal of Multidisciplinary Dental Research

Volume: 9, Issue: 2, Pages: 56–58

Case Report

Endodontic Treatment and Aesthetic Management of Gemination in Primary Central Incisor with Two Root Canals

Received Date:12 October 2023, Accepted Date:20 November 2023, Published Date:28 December 2023


This case report discusses the endodontic treatment and aesthetic management of gemination in a primary central incisor with two root canals in a 3-year-old boy. Gemination is a dental anomaly characterized by the partial division of a single tooth bud, resulting in a tooth with an enlarged crown and, in some cases, two root canals. The prevalence of gemination is relatively low, particularly in primary dentition. The patient presented with a large upper left central incisor (#61) that exhibited deep decay and caries, along with radiographic evidence of pulp involvement and a bifid crown with two separate pulp chambers and root canals. A diagnosis of gemination was established based on the presence of a complete dentition. The treatment approach included pulpectomy of the geminated tooth followed by the restoration of the crown using direct composite filling. The procedure aimed to alleviate the patient's pain, preserve the primary double tooth, and maintain the space for the succeeding permanent tooth. The report emphasizes the importance of careful clinical and radiographic examination for accurate diagnosis and highlights the challenges associated with managing geminated teeth. It underscores the need for vigilant monitoring and maintenance to ensure the long-term oral health and aesthetics of such aberrant teeth.

Keywords: Gemination, Aesthetic Dentistry, Pediatric Dentistry


  1. Tannenbaum KA, Alling EE. Anomalous tooth development: case reports of germination and twinning. Oral Med and Oral Path. 1963;16:883–887. Available from:
  2. Chaudhary M, Chaudhary SD. Essentials of pediatric oral pathology. JP Medical Ltd. 2011. Available from:
  3. Carroll MK. Fusion and gemination in alternate dentitions. Oral Surgery, Oral Medicine, Oral Pathology. 1990;69(5):655. Available from:
  4. Duccan WK, Helpin ML. Bilateral fusion and gemination: a literature analysis and case report. Oral Surg Oral Med Oral Pathol. 1987;64:82–87. Available from:
  5. Aguilo L, Gandia JL, Cibrian R, Catala M. Primary double teeth. A retrospective clinical study of their morphological characteristics and associated anomalies. Int J Paediatr Dent. 1999;9:175–183. Available from:
  6. Blank BS, Ogg RR, Levy AR. A Fused Central Incisor: Periodontal Considerations in Comprehensive Treatment. Journal of Periodontology. 1985;56(1):21–24. Available from:
  7. Neves AA, Neves MLA, Farinhas JA. Bilateral connation of permanent mandibular incisors: a case report. International Journal of Paediatric Dentistry. 2002;12(1):61–65. Available from:
  8. Kamakura N, Nakano K, Nagayama K, Kojima A, Takashima Y, Matsumoto M, et al. Gingival abscess occurring in maxillary primary central incisor fused to supernumerary tooth. Pediatric Dental Journal. 2010;20(1):99–102. Available from:
  9. Cabral LAG, Firoozmand LM, Almeida JD. Double teeth in primary dentition: Report of two clinical cases. Med Oral Patol Oral Cir Bucal. 2008;13:77–80. Available from:
  10. Mochizuki K, Mochizuki M, Kobayashi M, Tsujino K, Ohtawa Y, Yakushiji M. Four fused incisors in the maxillary and mandibular primary dentitions. Pediatric Dental Journal. 2008;18(1):64–69. Available from:
  11. Chalakkal P, Thomas AM. Bilateral fusion of mandibular primary teeth. J Indian Soc Pedod Prev Dent. 2009;27:108–118. Available from:


© 2023 Published by International Dental Educationists’ Association (IDEA). This is an open-access article under the CC BY license (


Subscribe now for latest articles, news.