Coexistence of fusion and birooted primary canine in a child

Bilateral birooted primary canine presentation is an exceptionally rare dental oddity, and its occurrence with primary double teeth is even rarer. In Indian literature, fused primary anteriors are the most common dental morphological anomalies, whereas only one case of bilateral birooted primary canines has been published. This article describes the case of a 3-year-old male with a chief complaint of pain and intraoral swelling associated with fused primary anterior teeth, wherein supernumerary roots in primary canines found bilaterally were an incidental radiographic finding. This case thus emphasizes the importance of a thorough and comprehensive intraoral and radiographic examination using numerous angulations for facilitating early diagnosis, favorable treatment outcome, and reduced need for complex orthodontic interceptions for similar dental anomalies.