Rare case : Double tooth — Second upper molar fused with a paramolar —

A young female patient suffering from a TMJ disorder with limited mouth opening consulted me for severe pain related to her upper right second molar, unresponsive to analgesics. Past dental history The patient explained that one year earlier, she had consulted a colleague for a large cervical carious lesion on the same tooth. She also informed him that it was a single tooth with an unusual shape since eruption. However, the colleague assumed it was a supernumerary tooth adjacent to the molar, which he planned to extract before restoring the second molar. Unfortunately, the extraction attempt resulted in a fracture, so he decided to perform only a restoration and discharged the patient. Clinical and radiographic examination Clinically, it was easy…