WE INVESTIGATED THE RELATIONSHIP between molar root fusion and localiz
ed periodontitis in this study. A total of 143 individuals (1,109 mola
rs) aged 23 to 68 years were examined for the presence of molar root f
usion at diseased and healthy sites. Molar root fusions were diagnosed
by periapical radiographs and clinical probing. Periodontal parameter
s measured included probing depth (PD), clinical attachment loss (CAL)
, gingival index (GI), and plaque index (PLI) around fused molars. Res
ults indicated that the prevalence of molar root fusions in males and
females was 15.2% (93/612) and 32.2% (160/497), respectively. The dist
ribution of molars with root fusions occurs in the following order: ma
xillary second molars (51.8%), mandibular second molars (32.3%), maxil
lary first molars (5.7%), and mandibular first molars (0%). Statistica
lly significant differences were observed between molar root fusions a
t healthy and diseased sites with respect to PLI, GI, PD, and CAL. The
highest prevalence of molar root fusion was observed in females.