Fused/geminated teeth may cause esthetic, spacing, periodontal, eruption and caries problems. The present study describes two clinical cases of similar dental fusion and compromises different and individualized treatment methods based on the proper treatment needs of a patient. In the first case the fused tooth was separated and the supernumerary tooth was extracted intraorally. In the second case, due to the union structure of a fused tooth up to the apex, extraction and extraoral separation was considered a better alternative than the separation of the fused tooth intraorally. Clinical and radiographic controls of the two cases revealed that the teeth were symptom-free and all clinical and radiographic findings were within normal limits after the long term follow-up periods. Following careful clinical and radiographic examination and diagnosis, extraoral hemi-section and immediate replantation may be considered as an alternative treatment in appropriate cases where a permanent tooth is fused with a supernumerary one.