“…This observation holds good with other studies reported since fusion in primary dentition are usually unilateral [ 12 ]. However, in some cases, bilateral fusion was also observed as reported by Gupta et al [ 7 , 13 ]. According to the literature, a large tooth with incisal notching, labial or palatal grooving, or radiographic evidence of a separate or fused pulp chamber, or root, was recorded in southern Chinese and Mongoloid population studies in permanent dentition [ 14 , 15 , 16 , 17 , 18 , 19 , 20 ] but fusion of unilateral canine and lateral incisors in primary dentition have not been reported in any cases in Saudi Arabia.…”