Concrescence can occur between two adjacent normal teeth or it can also happen between a normal and a supernumerary tooth. Dens evaginatus are uncommon and usually arise from the occlusal surfaces of mandibular premolars or the palatal surfaces of the maxillary incisors. Evaginatus odontomes have rarely been seen associated with supernumerary teeth. We describe a very rare combination of supplemental tooth with dens evaginatus concrescent with a maxillary first premolar in an otherwise healthy 13 years old boy with a chief complaint of discomfort in maxillary left quadrant. Recognition of these conditions and early diagnosis are important to avoid complications.
Key words: Concrescence, dens evaginatus, evaginatus odontome, molariform supernumerary tooth.
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