Surgical and Orthodontic Management of Fused Maxillary Central and Lateral Incisors in Early Mixed Dentition Stage

Fusion is one of the developmental dental anomalies in which two adjacent teeth are joined at the crown level forming a single tooth with an enlarged crown. Fusion causes some clinical problems such as unaesthetic appearance, pain, caries, and malocclusion. The management of fusion often needs multidisciplinary approach to give best possible esthetic and functional outcome. This paper reports a case of 9-year-old boy with fused maxillary left central and lateral incisors who was treated with2×4fixed orthodontic appliances after surgical separation of fused teeth.

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Endodontic Treatment and Esthetic Management of a Geminated Central Incisor Bearing a Talon Cusp

Case Reports in Dentistry ◽

10.1155/2014/123681 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Elif Tarım Ertaş ◽

Meral Yırcalı Atıcı ◽

Hakan Arslan ◽

Bilal Yaşa ◽

Hüseyin Ertaş

Keyword(s):

Case Report ◽

Multidisciplinary Approach ◽

Treatment Plan ◽

Specific Treatment ◽

Central Incisor ◽

Dental Anomalies ◽

Treatment Needs ◽

Radiologic Diagnosis ◽

Radiographic Findings ◽

Clinical Problems

Gemination with talon cusps is an uncommon morphologic dental anomaly, characterized by the formation of clinically wide tooth that can cause significant aesthetic and clinical problems including esthetic impairment, pain, caries susceptibility, and tooth crowding. These morphological dental anomalies have specific treatment needs due to the abnormal morphology and need virtuous radiologic diagnosis. Multidisciplinary approach can supply success of the treatment plan that can provide esthetic and occlusal requirements. In this case report, the multidisciplinary approach for the treatment of geminated tooth with talon cusp is presented with the clinical and radiographic findings.

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Interceptive Correction of Anterior Crossbite Using Short-Span Wire-Fixed Orthodontic Appliance: A Report of Three Cases

Case Reports in Dentistry ◽

10.1155/2018/4323945 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

S. Nagarajan M. P. Sockalingam ◽

Khairil Aznan Mohamed Khan ◽

Elavarasi Kuppusamy

Keyword(s):

Treatment Compliance ◽

Mixed Dentition ◽

Orthodontic Appliances ◽

Orthodontic Appliance ◽

Fixed Orthodontic Appliances ◽

Dental Origin ◽

Short Span ◽

Removable Appliance ◽

Removable Appliances ◽

Fixed Orthodontic Appliance

Anterior crossbite is relatively a common presentation in the mixed dentition stage. If left untreated, it can lead to a host of problems and may complicate future orthodontic treatment. One of the major difficulties in performing anterior crossbite correction in young children is treatment compliance. In most cases, poor compliance is due to the unacceptability of the removable appliance used. This article describes three cases of successful correction of anterior crossbite of patients in mixed dentition using short-span wire-fixed orthodontic appliances. This sectional appliance provides an alternative method of correcting anterior crossbite of dental origin and offers many advantages compared to the use of removable appliances.

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BILATERAL FUSION OF PRIMARY MANDIBULAR CANINE AND FIRST MOLAR: A RARE OCCURRENCE

10.36106/ijsr/6225057 ◽

2021 ◽

pp. 71-72

Author(s):

Komal Ghiya

Keyword(s):

Multidisciplinary Approach ◽

Tooth Development ◽

Treatment Plan ◽

Permanent Teeth ◽

Rare Occurrence ◽

Dental Anomalies ◽

Prompt Treatment ◽

Lower Back ◽

Fused Teeth ◽

Differentiation Stage

Objective: Fusion is a developmental anomaly of the teeth. It is dened as the union of two independently developing primary or permanent teeth. Aberrations in morpho differentiation stage of tooth development leads to abnormal forms and sizes of teeth. This paper reports a rare case of bilateral fusion of mandibular primary rst molar and canine. A 10 year old boy reported with the chief complaint of difculty in chewing due to mobility of teeth in lower back teeth region. Intraoral, radiographic and histopathological examinations indicated fusion of mandibular deciduous canine and deciduous rst molar on both sides. According to the treatment plan, the fused teeth were extracted. Fusion of teeth is caused by various etiological factors, can be diagnosed by amalgamation of clinical, radiological and histopathological examinations and can be treated by multidisciplinary approach. Accurate diagnosis of dental anomalies helps in prompt treatment, which in turn avoids future orthodontic complications and better prognosis.

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Correction of incisor malpositions in mixed dentition with 2x4 orthodontic appliance

Stomatoloski glasnik Srbije ◽

10.2298/sgs0202050k ◽

2002 ◽

Vol 49 (1-2) ◽

pp. 50-52

Author(s):

Drasko Karadjinovic ◽

Branislav Vidovic

Keyword(s):

Simple Solution ◽

Mixed Dentition ◽

Orthodontic Appliances ◽

Orthodontic Appliance ◽

Fixed Orthodontic Appliances ◽

General Dentists

Depending of indication, malocclusion in mixed dentition can be treated by removable or fixed orthodontic appliances. Malpositions of permanent incisors are successfully treated with 2x4 orthodontic appliance representing economical, safer and simple solution for contemporary general dentists, paedodontists and orthodontists.

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Bilateral geminated teeth with talon cusps: A case report

European Journal of Dentistry ◽

10.1055/s-0039-1698985 ◽

2012 ◽

Vol 06 (04) ◽

pp. 440-444

Author(s):

Sevgi Sener ◽

Nimet Unlu ◽

Faruk Ayhan Basciftci ◽

Guldane Bozdag

Keyword(s):

Case Report ◽

Orthodontic Treatment ◽

Multidisciplinary Approach ◽

Composite Resin ◽

Lateral Incisor ◽

Exposed Surface ◽

Dental Anomalies ◽

Maxillary Lateral Incisor ◽

Clinical Problems

ABSTRACTTalon cusps and gemination are rare dental anomalies that can cause significant aesthetic and clinical problems. Bilateral talon cusps on geminated teeth have not been reported so far. The case of gemination with talon cusps on both maxillary central incisors was presented in this report. The main complaints of the patient were tongue irritation and aesthetic problems. The talon cusps were gradually reduced at 2 consecutive sittings and the exposed surface was treated with a fluoride gel. The aesthetical appearance was improved using a composite resin. Fixed orthodontic treatment was initiated for repositioning the left maxillary lateral incisor. A long term, multidisciplinary approach is necessary for the treatment of gemination with talon cusps. (Eur J Dent 2012;6:440-444)

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The impact of fixed orthodontic appliances on oral microbiome dynamics in Japanese patients

Scientific Reports ◽

10.1038/s41598-020-78971-2 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Isamu Kado ◽

Junzo Hisatsune ◽

Keiko Tsuruda ◽

Kotaro Tanimoto ◽

Motoyuki Sugai

Keyword(s):

Relative Abundance ◽

Japanese Patients ◽

Oral Microbiome ◽

Orthodontic Appliances ◽

Periodontal Pathogens ◽

Supragingival Plaque ◽

Fixed Orthodontic Appliances ◽

Microbial Dna ◽

The Impact ◽

Level Analysis

AbstractFixed orthodontic appliances are common and effective tools to treat malocclusion. Adverse effects of these appliances, such as dental caries and periodontitis, may be associated with alteration of the microbiome. This study investigated the impact of these appliances on the dynamics of the oral microbiome. Seventy-one patients were selected. Supragingival plaque samples were collected before placement (T0) and six months after placement (T1). Saliva samples were collected at T0 and T1, and then when appliance removal (T2). Microbial DNA was analyzed by 16S rRNA meta-sequencing. The diversity analysis indicated dynamic changes in the structure of the oral microbiome. Taxonomic analysis at phylum level showed a significant increase in Bacteroidetes and Saccharibacteria (formally TM7) and decrease in Proteobacteria and Actinobacteria over time, in both plaque and saliva. Genus level analysis of relative abundance indicated a significant increase in anaerobic and facultative anaerobes in both plaque and saliva. Fixed orthodontic appliances induced measurable changes in the oral microbiome. This was characterized by an increase in relative abundance of obligate anaerobes, including periodontal pathogens. It can be concluded that this dysbiosis induced by fixed orthodontic appliances is likely to represent a transitional stage in the shift in microbiome from healthy to periodontitis.

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A single-centre investigator-blinded randomised parallel group clinical trial to investigate the effect of probiotic strainsStreptococcus salivariusM18 andLactobacillus acidophiluson gingival health of paediatric patients undergoing treatment with fixed orthodontic appliances: study protocol

BMJ Open ◽

10.1136/bmjopen-2019-030638 ◽

2019 ◽

Vol 9 (9) ◽

pp. e030638 ◽

Cited By ~ 2

Author(s):

Eleftherios G Kaklamanos ◽

Rania Nassar ◽

Sotirios Kalfas ◽

Manal Al Halabi ◽

Mawlood Kowash ◽

...

Keyword(s):

Treatment Group ◽

Oral Hygiene ◽

Oral Microbiome ◽

Control Group ◽

Orthodontic Appliances ◽

Single Centre ◽

Paediatric Patients ◽

Gingival Health ◽

Parallel Group ◽

Fixed Orthodontic Appliances

BackgroundThere is limited data on the beneficial effects of probiotics on the gingival health of patients undergoing treatment with fixed orthodontic appliances. This study aims to compare the effect of probiotic tablets combined with regular oral hygiene versus regular oral hygiene alone on gingival status in these patients. The effect of probiotic intake on plaque formation and salivary microbiome composition will be also assessed.Methods and analysisThis is a 3 month single-centre, single blind (clinical and laboratory examiners), parallel group randomised controlled two arm superiority trial. Fifty paediatric patients attending the Postgraduate Orthodontic Clinic at the Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai, United Arab Emirates, who meet the eligibility criteria will be recruited. Block randomisation with 1:1 allocation and concealment of allocation will be carried out. The treatment group will receive probiotic tablets containingStreptococcus salivariusM18 andLactobacillus acidophilustogether with regular oral hygiene versus the control group on regular oral hygiene alone. Clinical examination and collection of saliva for microbiome assay will be carried out at baseline and end of study. Self-reporting by patients will be used to document acceptability and adverse effects. Statistically significant decrease in gingival bleeding on probing in the treatment group will be classified as primary outcome of treatment success. Statistically significant reduction in Plaque Index, Gingival Index and shift in the composition of the oral microbiome in favour of beneficial bacteria are secondary outcomes indicative of efficacy of probiotic intake.Ethics and disseminationEthical approval for the study has been granted by the HBMCDM, MBRU, Institutional Review Board (Reference #: MBRU-IRB-2018–015). Study findings will be disseminated via publication in peer-reviewed journal.Trial registration numberISRCTN95085398

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