Fusion of primary teeth is a rare dental anomaly. Fusion teeth are more common in primary dentition almost in lower dentition, unilateral. The succeeding teeth are almost hypodontia. This is a case about a 4 years old boy in Taiwan. He had bilateral fusion teeth of primary lateral incisor and canine teeth. After panoramic radiographic examination, his succeeding permanent teeth were also bilateral fusion teeth of lateral incisors and canines.