Dental fusion is defined as a single, enlarged, or joined tooth in which the tooth count reveals a missing tooth when the anomalous tooth is counted as one. Fusion is more common in primary dentition, and incisors are reported to be found in both primary and permanent dentition, but bilateral fusion is a rare occurrence. Infrequent occurrences of fusion could cause esthetic, spacing, and periodontal problems. Cases with primary double teeth necessitate careful examination as they may be associated with anomalies in the succeeding permanent dentition and require proper treatment planning. The present article highlights the management of bilateral primary fused teeth in a 3-year-old girl, involving primary mandibular right and left central and lateral incisors.