Endo and extraction of distal segment. ■ 8/27/2019 Cool case, tom525! I'll bet that was super complicated. How many extra teeth were there? That tooth was truly geminated (or is it fusion?). I'm not sure I've ever had one like that. I have to agree with John's comment above that my patient just has a "megatooth" with but a single huge canal. So, I'll probably go with trimming it down as much as reasonably possible and then dealing with it when he is much older if it is something that bothers him enough to go through what it would take to replace it. ■ dhmjdds Member Since: 11/16/04 Post: 7 of 9 8/27/2019 What would you do? Have you ever seen or successfully treated a case like this? To share your suggestions and find out how "dhmjdds" proceeded, go to orthotown.com/magazine and find a link to this message board in the October lineup. orthotown.com \\ OCTOBER 2019 25http://www.orthotown.com/magazine http://orthotown.com/register http://www.orthotown.com