scholarly journals The Multidisciplinary Management of Fused Maxillary Lateral Incisor with a Supernumerary Tooth in Cleft Lip Adolescence

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmet Yagci ◽  
Kenan Cantekin ◽  
Suleyman Kutalmis Buyuk ◽  
Kansad Pala
Keyword(s):  
Cleft Lip ◽  
Treatment Options ◽  
Contralateral Side ◽  
Lateral Incisor ◽  
Supernumerary Tooth ◽  
Root Canals ◽  
Dental Tissues ◽  
Successful Resolution ◽  
Maxillary Lateral Incisor

Fusion, an uncommon anomaly of the hard dental tissues, is potentially the cause of clinical problems related to esthetics, tooth spacing, and other periodontal complications. This paper describes a multidisciplinary approach involving surgical, endodontic, restorative, and orthodontic attention for the successful, functional, and esthetic rehabilitation of a maxillary left lateral incisor fused with a supernumerary tooth in unilateral cleft lip adolescence in contralateral side. After clinical and radiographic examinations, a fusion between the left maxillary lateral incisor and a supernumerary tooth was diagnosed in the patient, and a small connection was detected between the pulp systems of the two root canals. The case reported in this paper presents the successful resolution of a fused maxillary lateral incisor with a supernumerary tooth, using endodontic, surgical, restorative, and orthodontic management. The decision made in extracting or retaining the fused tooth depends on the arch discrepancy and esthetic needs. Future studies, with long-term followup, will be helpful in evaluating the long-term efficacy of the different treatment options.

scholarly journals Dual embryonic origin of maxillary lateral incisors: clinical implications in patients with cleft lip and palate

2015 ◽  
Vol 20 (5) ◽  
pp. 118-125 ◽  
Author(s):  
Daniela Gamba Garib ◽  
Julia Petruccelli Rosar ◽  
Renata Sathler ◽  
Terumi Okada Ozawa
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Lateral Incisor ◽  
Craniofacial Anomalies ◽  
Nasal Process ◽  
Embryonic Origin ◽  
Maxillary Lateral Incisor ◽  
To Come ◽  
Dual Origin ◽  
Research Analysis

Introduction:Cleft lip and palate are craniofacial anomalies highly prevalent in the overall population. In oral clefts involving the alveolar ridge, variations of number, shape, size and position are observed in maxillary lateral incisors. The objective of this manuscript is to elucidate the embryonic origin of maxillary lateral incisors in order to understand the etiology of these variations.Contextualization: The hypothesis that orofacial clefts would split maxillary lateral incisor buds has been previously reported. However, recent studies showed that maxillary lateral incisors have dual embryonic origin, being partially formed by both the medial nasal process and the maxillary process. In other words, the mesial half of the lateral incisor seems to come from the medial nasal process while the distal half of the lateral incisor originates from the maxillary process. In cleft patients, these processes do not fuse, which results in different numerical and positional patterns for lateral incisors relating to the alveolar cleft. In addition to these considerations, this study proposes a nomenclature for maxillary lateral incisors in patients with cleft lip and palate, based on embryology and lateral incisors position in relation to the alveolar cleft.Conclusion:Embryological knowledge on the dual origin of maxillary lateral incisors and the use of a proper nomenclature for their numerical and positional variations renders appropriate communication among professionals and treatment planning easier, in addition to standardizing research analysis.

Bilateral Nervus Intermedius Sectioning for Geniculate Neuralgia: Case Report and Operative Video

2021 ◽  
Author(s):  
Keaton Piper ◽  
Qizhi Victoria Zheng ◽  
Robert S Heller ◽  
Siviero Agazzi
Keyword(s):  
Side Effects ◽  
Microvascular Decompression ◽  
Treatment Options ◽  
Rare Condition ◽  
Contralateral Side ◽  
Wide Range ◽  
Successful Resolution ◽  
Surgical Options ◽  
Vascular Loop ◽  
Nervus Intermedius

Abstract BACKGROUND AND IMPORTANCE Geniculate neuralgia is a rare condition characterized by excruciating ear pain. Surgical options for geniculate neuralgia include microvascular decompression and sectioning of the nervus intermedius. We report herein a case of bilateral geniculate neuralgia treated by nervus intermedius sectioning without prior microvascular decompression. To our knowledge, this is the first report of this treatment strategy with a subsequent description of the side effects of bilateral nervus intermedius disruption. CLINICAL PRESENTATION A 54-yr-old woman presented with bilateral geniculate neuralgia, worse on the left, refractory to medical therapy. Surgical treatment options were reviewed, including microvascular decompression and sectioning of the nervus intermedius. She opted for left nervus intermedius sectioning. The procedure was uncomplicated and no compressive vascular loop was identified during surgery. Postoperatively, she had complete symptom resolution with no discernable side effects. Three years later, the patient developed worsening geniculate neuralgia on the contralateral side. After the discussion of treatment options, she opted again for sectioning of the contralateral nervus intermedius with successful resolution of all symptoms after surgery. Following surgery, the patient identified partial impairment of lacrimation and gustation. She continued to have functional taste of the anterior two-thirds of the tongue, lacrimation, and hearing bilaterally. CONCLUSION Bilateral sectioning of nervus intermedius may provide benefit in patients with bilateral geniculate neuralgia without egregious side effects. However, lacrimatory and gustatory alterations are a potentially significant side effect with a wide range of symptomatology.

Chronology and Sequence of Eruption of the Permanent Teeth in Patients with Complete Unilateral Cleft Lip and Palate

2004 ◽  
Vol 41 (6) ◽  
pp. 642-645 ◽  
Author(s):  
Cleide Felíciode Carvalho Carrara ◽  
JoséEduardode Oliveira Lima ◽  
Carlos Eduardo Carrara ◽  
Bernardo Gonzalez Vono
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Sao Paulo ◽  
Lateral Incisor ◽  
Permanent Teeth ◽  
São Paulo ◽  
Craniofacial Anomalies ◽  
Cross Sectional ◽  
Maxillary Lateral Incisor ◽  
Mandibular Teeth

Objective To establish the chronology and sequence of eruption of the permanent teeth in subjects with complete unilateral cleft lip and palate. Design Cross-sectional. Data on children presenting complete cleft lip and palate were evaluated. Setting The study was carried out at the Hospital for Rehabilitation of Craniofacial Anomalies, Bauru, Sao Paulo, Brazil. Sample The sample comprised 477 patients with complete unilateral cleft lip and palate, aged 5 to 14 years. Of these patients, 166 were girls and 311 were boys. Results The girls presented, for all maxillary and mandibular teeth, a smaller mean age of eruption than the boys. The maxillary lateral incisor and cuspid adjacent to the cleft presented significantly higher mean ages of eruption than their homologous teeth on the noncleft side.

Maxillary Lateral Incisor with 3 Root Canals: A Case Report

2019 ◽  
Vol 10 (2) ◽  
pp. 179-182
Author(s):  
Mario Buonvivere ◽  
Matteo Buonvivere
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Rare Case ◽  
Lateral Incisor ◽  
Complex Root ◽  
Canal System ◽  
Root Canals ◽  
Single Root ◽  
Maxillary Lateral Incisor ◽  
Root Canal System

The proper knowledge of the root canal system anatomy is crucial to perform successful endodontic treatments. Maxillary lateral incisors usually have a single root. However, aberrant canal configurations of this tooth have been reported in the literature. The clinician should be aware of the difficulties arising from this more complex root canal anatomy and should be able to manage them. A rare case of a maxillary lateral incisor with three root canals is presented in this article; the challenge of diagnosis and treatment in similar situations is also discussed.

scholarly journals The maxillary lateral incisor in the rehabilitation of cleft lip and palate

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Guida Paola Genovez Tereza ◽  
Marcos Antônio Corrêa dos Santos ◽  
Vivian Patricia Saldias Vargas Winckler ◽  
Ana Lúcia Pompeia Fraga de Almeida ◽  
Gisele da Silva Dalben
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Lateral Incisor ◽  
Maxillary Lateral Incisor

scholarly journals Supernumerary Teeth in Nepalese Children

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Varun Pratap Singh ◽  
Amita Sharma ◽  
Sonam Sharma
Keyword(s):  
Demographic Variables ◽  
Descriptive Statistics ◽  
Lateral Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Maxillary Lateral Incisor ◽  
Maxillary Premolars ◽  
Nepalese Children

Objective. The objectives of the present study were to investigate the prevalence and characteristics of supernumerary teeth in a patient sample of Nepalese children.Study Design. A survey was performed on 2684 patients (1829 females and 1035 males) ranging in age from 6 to 14 for the presence of supernumerary teeth. For each patient with supernumerary teeth the demographic variables (age and sex), number, location, eruption status, and morphology were recorded. Descriptive statistics were performed.Results. Supernumerary teeth were detected in 46 subjects (1.6%), of which 26 were males and 20 were females with a male : female ratio of 1.3 : 1. The most commonly found supernumerary tooth was mesiodens followed by maxillary premolars, maxillary lateral incisor, and mandibular lateral incisor. Of the 55 supernumerary teeth examined, 58.18% (n=32) had conical morphology, followed by tuberculate (30.90%,n=17) and supplemental (10.90%,n=6) forms. The majority of the supernumerary teeth were erupted (56.36%,n=31).Conclusion. The prevalence of supernumerary teeth in Nepalese children was found to be 1.6%, the most frequent type being mesiodens. Conical morphology was found to be the most common form of supernumerary tooth.

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