Nonsurgical Endodontic Management of Molar-Paramolar Fusion in a Mandibular Molar: A Case Report

Developmental abnormalities like fusion and gemination affecting the posterior dentition, pose serious diagnostic, and treatment difficulties. This case report demonstrates successful endodontic management of a rare fused molar-paramolar complex with pulp necrosis and apical periodontitis. The report highlights diagnostic challenges, the role of advanced imaging, anatomical complexities, and successful outcomes using modern endodontic techniques for fused posterior teeth.