{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:12:27Z","timestamp":1769127147776,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T00:00:00Z","timestamp":1768089600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Fusion is a rare developmental anomaly characterized by the union of two adjacent tooth germs during the morphodifferentiation stage of tooth formation, resulting in a single enlarged tooth. Its prevalence ranges from 0.4% to 0.9% in the primary dentition and approximately 0.2% in the permanent dentition. Unilateral fusion is more commonly observed in the primary dentition compared to the permanent dentition. Bilateral fusion in permanent teeth is extremely rare, with a reported prevalence of only 0.05%, most frequently affecting the incisors. Bilateral fusion involving the mandibular permanent lateral incisors and canines is even more uncommon. Due to its low prevalence in the permanent dentition, the clinical significance, diagnosis, and radiographic presentation of such anomalies are poorly understood. This paper highlights an exceptionally rare case of bilateral symmetrical fusion of the permanent mandibular lateral incisors and canines, which led to dental crowding and challenges in maintaining effective plaque control. To the best of our knowledge, this specific type of bilateral fusion has not been previously reported in the literature.<\/jats:p>","DOI":"10.1002\/ccr3.71835","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T03:41:48Z","timestamp":1768189308000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral Symmetrical Fusion of Permanent Mandibular Lateral Incisors and Canines: A Rare Clinical Case"],"prefix":"10.1002","volume":"14","author":[{"given":"Suresh Kandagal","family":"Veerabhadrappa","sequence":"first","affiliation":[{"name":"Faculty of Dentistry SEGi University, Petaling Jaya  Petaling Jaya Selangor Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayanth Kumar","family":"Vadivel","sequence":"additional","affiliation":[{"name":"Saveetha Dental College and Hospitals, Saveetha University  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Zahoor Ul","family":"Huqh","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry SEGi University, Petaling Jaya  Petaling Jaya Selangor Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7776-3335","authenticated-orcid":false,"given":"Siddharthan","family":"Selvaraj","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of Puthisastra  Phnom Penh Cambodia"},{"name":"Dr. D. Y. Patil Dental College &amp; Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to Be University)  Pune India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2009-4393","authenticated-orcid":false,"given":"Anand","family":"Marya","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of Puthisastra  Phnom Penh Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Yadav","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry SEGi University, Petaling Jaya  Petaling Jaya Selangor Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/app122311899"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2020.1734233"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-9668.107315"},{"issue":"3","key":"e_1_2_11_5_1","first-page":"192","article-title":"Bilateral Fusion of Permanent Mandibular Central and Lateral Incisors: A Case\u2010Report of a Rare Developmental Anomaly","volume":"3","author":"Sultan A.","year":"2017","journal-title":"International Journal of Oral Health & Dentistry"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2015.12.003"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1980-65232010000400020"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-4388.79936"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-9290.116680"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.17140\/DOJ-4-133"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0975-962X(11)60015-4"},{"key":"e_1_2_11_12_1","article-title":"Bilateral Fusion of Primary Mandibular Incisors: A Rare Case Report","volume":"9","author":"Gupta T.","year":"2015","journal-title":"Journal of Clinical and Diagnostic Research"},{"issue":"2","key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.4103\/0973-029X.57678","article-title":"Bilateral Fusion of Permanent Mandibular Incisors With Talon's Cusp: A Rare Case Report","volume":"13","author":"Prabhakar A. 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