Figure 1: (a) Preoperative clinical picture of 47 fused to a paramolar (b) Preoperative IOPAR of mandibular right quadrant showing 47 with extra cusp as well as canal (c) Rubber dam isolation with three canals in molar and separate single canal in fused paramolar (d) Confi rmatory working length radiograph (e) Immediate postoperative radiograph (f) Postoperative clinical image of restored 46,47 (g) CBCT image obtained by curved slicing (h) Occlusal view, by CBCT (i) Buccal view (j) 1year follow-up radiograph