Geminated incisor: A case report

Abstract

Gemination is a rare dental anomaly which arises from incomplete division of tooth germ during tooth development. Etiology is uncertain but has been proposed to be genetic, metabolic or traumatic reasons. Clinical picture varies amongst patients and may present as macrodontia, bifid crown, grooved crown which may or may not have cariously exposed pulp. Different classifications have been proposed for geminated teeth. Diagnosis requires case history, clinical and radiographic examination. Treatment ranges from minor reshaping and smoothing to major endodontic procedures. Orthodontic treatment might be essential in some cases. A case report of geminated central incisor is presented. A 16 year old female presented with geminated and rotated maxillary right central incisor at Khyber College of Dentistry, Peshawar. Clinical, radiographic features, etiology and treatment options are discussed.