{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:07Z","timestamp":1756361407880,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,6,14]]},"abstract":"<jats:p>Morphological variation of normal oral structures such as double frenum and fusion together in a patient is rare. Sometimes such scenarios may mislead the diagnosis, affecting treatment planning and prognosis. Hence a thorough evaluation of patients with such morphological defects is necessary. This case report describes a case of double frenum and fusion, and the multiple challenges the clinician faces.<\/jats:p>","DOI":"10.1136\/bcr-2014-204502","type":"journal-article","created":{"date-parts":[[2015,7,6]],"date-time":"2015-07-06T08:14:48Z","timestamp":1436170488000},"page":"bcr2014204502","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Double frenum weds fusion: a rare wedlock?"],"prefix":"10.1136","volume":"2015","author":[{"given":"David","family":"Livingstone","sequence":"first","affiliation":[{"name":"Department of Prosthodontics, Indira Gandhi Institute of Dental Science, Pillayarkuppam, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varsha","family":"Murthy","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Indira Gandhi Institute of Dental Science, Pillayarkuppam, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Baliah","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Radiology, Indira Gandhi Institute of Dental Science, Pillayarkuppam, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Pillai","sequence":"additional","affiliation":[{"name":"Department of Oral & Maxillofacial Surgery, People's Dental Academy, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,7,6]]},"reference":[{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1946.0261"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.2","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1976.47.1.25"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.3","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(63)90326-8"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.4","first-page":"362","article-title":"A complete fusion in the primary human dentition: a histological approach","volume":"55","author":"Surmont","year":"1988","journal-title":"ASDCJ Dent Child"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.5","first-page":"378","article-title":"Bilateral symmetrical fusion of primary and permanent mandibular lateral incisors and canines","volume":"13","author":"Nik-Hussein","year":"1989","journal-title":"J Pedod"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.6","first-page":"294","article-title":"Separation of fused primary incisors: report of case","volume":"5","author":"Himelhoch","year":"1988","journal-title":"ASDCJ Dent Child"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.7","first-page":"60","article-title":"Gemination, fusion and supernumerary tooth in the primary dentition: report of case","volume":"56","author":"Camm","year":"1989","journal-title":"ASDCJ Dent Child"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.8","unstructured":"Pindborg JJ . Pathology of the dental hard tissues. Copenhagan: Munksgaard, 1970:47\u201354."},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.9","first-page":"348","article-title":"Numerical variations in primary dentition and their correlation with the permanent dentition","volume":"12","author":"Grahnen","year":"1961","journal-title":"Odontol Rec"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.10","doi-asserted-by":"publisher","DOI":"10.1177\/089033449501100419"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.11","doi-asserted-by":"publisher","DOI":"10.1177\/0890334410362520"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04661-4"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.13","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1067\/mpd.2001.109192","article-title":"Mandibular frenulum as a sign of infantile hypertrophic pyloric stenosis","volume":"138","author":"Jenista","year":"2001","journal-title":"J Pediatr"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.14","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(98)70198-2"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.15","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-263X.1998.00069.x"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.16","doi-asserted-by":"publisher","DOI":"10.1136\/adc.42.222.214"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.17","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1979.0037"},{"key":"2025082722481704000_2015.jul06_1.bcr2014204502.18","first-page":"346","article-title":"Fusion of maxillary primary central and lateral incisors bilaterally","volume":"3","author":"Eidelman","year":"1981","journal-title":"Pediatr Dent"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204502","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:48:23Z","timestamp":1756360103000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,6]]},"references-count":18,"alternative-id":["10.1136\/bcr-2014-204502"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204502","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,7,6]]}}}