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“FUSION” –is one of the developmental disturbances that alter the natural shape of the teeth. It can be seen occur in either the primary or permanent dentition. A case report of splitting and endodontic treatment of maxillary central incisors that fused with supernumerary teeth is presented. The fused maxillary central incisors was in malposition on the maxillary arch and the permanent lateral incisors were placed palatally, which required orthodontic treatment. Here the fused teeth were splitted and endodontic therapy was done for the right maxillary fused central incisors – 11. The palatally placed permanent lateral incisors were extracted and the case was referred to orthodontia department.