Surgical hemisection and orthodontic management of permanent double tooth: a New technique

Two cases of maxillary permanent double teeth, the left central incisor and the right lateral incisor, are described. Treatment comprised of surgical separation, orthodontic alignment and conservative pulp therapy. Surgical splitting and removal of one half of the double tooth resulted in an acceptable shaped tooth. Orthodontic treatment involved alignment of teeth and relief of anterior crowding. No root canal therapy was performed, and the teeth showed no evidence of increased mobility. The intervened teeth remained vital and their periodontal health was maintained. At 28 months follow-up, examination revealed good prognosis and stability