Dental anomaly in number, size, and shape might occur during dental bud morphodifferentiation stage. Gemination and fusion are the most common anomalies. Gemination exhibits two joined crowns and usually a single root. This case report presents a geminated maxillary lateral incisor in a 15-year-old female admitted with symptoms of irreversible pulpitis and normal apical tissues. Clinical examination revealed deep palatal caries and the patient had no swelling and fistula. Responses to both percussion and palpation were normal. After root canal treatment, the patient did not present any signs and symptoms.