scholarly journals Fusion or gemination? A radiologic approach

2020 ◽  
Vol 9 (6) ◽  
pp. 614-616
Author(s):  
Tamara Fernandes De Castro ◽  
Glauco Issamu Miyahara ◽  
Carla Renata Sanomiya Ikuta ◽  
Leda Maria Pescinini Salzedas
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Case ◽  
Lateral Incisor ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Second Molar ◽  
Mandibular Second Molar

A supernumerary tooth is an entity in addition to the normal series of teeth that, although rare, can be fused to a tooth, whether deciduous or permanent. Diagnosis and management in cases involving supernumerary teeth in the anterior region of the maxilla are often challenging. The clinical examination associated with the radiographic examination is decisive for the diagnosis and planning of cases. This article describes a case of unilateral fusion of a supernumerary tooth to a permanent upper lateral incisor, in which clinical and radiographic diagnosis was essential for a conservative approach. Descriptors: Diagnosis; Fused Teeth; Tooth, Supernumerary. References Rajab LD and Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent. 2002;12:244–54. Yang G. Supernumerary teeth and gemination. Br J Oral Maxillofac Surg. 2012;50:15–8.  Zhu M, Liu C, Ren S, Lin Z, Miao L, Sun W. Fusion of a supernumerary tooth to right mandibular second molar: a case report and literature review. Int J Clin Exp Med. 2015;8(8):11890-95. Rudagi K, Rudagi BM, Metgud S, Wagle R. Endodontic management of mandibular second molar fused to a supernumerary tooth, using spiral computed tomography as a diagnostic aid: a case report. Case Rep Dent. 2012;2012:614129.  Nandini DB, Deepak BS, Selvamani M, Puneeth HK. Diagnostic dilemma of a double tooth: a rare case report and review. Journal of Clinical and Diagnostic Research. 2014;8(1):271-72. Duncan WK, Helpin ML. Bilateral fusion and gemination: a literature analysis and case report. Oral Surg Oral Med Oral Pathol.1987;64(1):82-7. Gupta S, Singla S, Marwah N, Dutta S, Goel M. Synodontia between permanent maxillary lateral incisor and a supernumerary tooth: treatment J Oral Health Comm Dent. 2007;1:52-5. Mader CL (1979) Fusion of teeth. J Am Dent Assoc 98:62-4. Kumar V, Pandey V, Rohini G, Jyoti B. Fusion Between Maxillary Premolar and A Supernumerary Tooth: A Rare Case Presentation. J Clin Diagn Res. 2015;9(11): ZJ03-4. Maréchaux SC. The treatment of fusion of a maxillary central incisor and a supernumerary: report of a case. ASDC J Dent Child. 1984;51:196-99. De Siqueira VC, Braga TL, Martins MA, Raitz R, Martins MD. Dental fusion and dens evaginatus in the permanent dentition: literature review and clinical case report with conservative treatment. J Dent Child (Chic) 2004;71:69-72.  Karacay S, Guven G, Koymen R. Management of a fused central incisor in association with a macrodont lateral incisor: a case report. Pediatr Dent. 2006;28:336-40.  Cetinbas T, Halil S, Akcam MO, Sari S, Cetiner S. Hemisection of a fused tooth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104:e120-24.  Nunes E, deMoraes IG, de Novaes PM, de Sousa SM. Bilateral fusion of mandibular second molars with supernumerary teeth: case report. Brazilian Dent J. 2002;13:137-41. 

scholarly journals C-shaped canal configuration in lower molar - Case report

2015 ◽  
Vol 18 (2) ◽  
pp. 115
Author(s):  
Lauren Grandi Dos Santos ◽  
Amanda Nunes Gallas ◽  
Josué Martos ◽  
Luiz Fernando Machado Silveira
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Anatomical Variation ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Second Molar ◽  
Gutta Percha ◽  
Mandibular Second Molar ◽  
Lower Molar

The C-shape configuration in molars it’s an anatomical variation that difficult the diagnosis and treatment. The aim of this study was to report a case of C-shape endodontic configuration in mandibular second molar. The radiographic examination of one patient revealed the extent of caries in the mesial aspect of mandibular second molar, without the presence of periapical lesion and was clinically noted the C-shape configuration of the root canal, extending from the mesiobuccal to the distal canal. Endodontic therapy was performed and after the root canal obturation with gutta-percha cones and endodontic cement the tooth was restored. We conclude that the anatomical condition in C-shape, although it brings many difficulties for the endodontic treatment, does not preclude the tooth rehabilitation.

scholarly journals Multiple Unerupted Impacted Supernumerary Teeth: A Rare Case Report of Father and Son

2018 ◽  
Vol 3 (2) ◽  
pp. 863-867
Author(s):  
Ajit Joshi ◽  
Manu Goel ◽  
Nitin Fating ◽  
Pawan Dawane
Keyword(s):  
Case Report ◽  
Family History ◽  
Prevalence Rate ◽  
Rare Case ◽  
Radiographic Examination ◽  
Etiologic Factor ◽  
Supernumerary Teeth ◽  
Rare Case Report ◽  
History Of ◽  
Father And Son

Multiple impacted supernumerary teeth without any associated systemic conditions or syndromes are rare. The prevalence rate of supernumerary teeth in the permanent dentition is between 0.1– 6.9 % as compared to 0.3–0.6% in theprimary dentition. In this article, reporting a rare family history of non-syndromic multiple impacted supernumerary teeth,found incidentally during routine radiographic examination. Though the etiologic factor of multiple impacted supernumerary teeth are still not clearly known especially in cases without any syndrome. However, thorough evaluation is necessary toexclude associated systemic conditions.

scholarly journals Tooth transposition: two case-reports and literature review

2018 ◽  
Vol 59 (2) ◽  
pp. 11-23
Author(s):  
Camila Alves Ferri ◽  
Laura Campos Hildebrand
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
Developmental Disorder ◽  
Dental Treatment ◽  
Case Reports ◽  
Lateral Incisor ◽  
Central Incisor ◽  
Second Molar ◽  
Mandibular Molars

Tooth transposition is a rare developmental disorder in which a normal tooth erupts in an inappropriate position. The change in position occurs between two adjacent teeth within the same quadrant. In this article, two cases of tooth transposition involving mandibular molars are described. Patient 1 presented with bilateral transposition between first and second mandibular molars. In addition, giroversion of the first molars was observed. Patient 2 presented with unilateral transposition between the mandibular left molars. Because this tooth disorder does not affect quality of life, both patients declined to seek dental treatment. Out of the 120 cases of tooth transposition found in the literature, 92,5% occurred in the maxilla and 15% were bilateral, 65,8% percent of these cases involved the canine and first premolar; 26.6% involved the canine and lateral incisor; 2,5% involved the canine and central incisor; and only 0.85% involved the first and second molar. The majority of tooth transposition cases occurred in women (66,6%). In literature, tooth transposition is a poorly-documented condition. Consequently, this report seeks to contribute to the existing information in the literature on this disorder.

scholarly journals NONSYNDROMIC CONCOMITANT HYPO-HYPERDONTIA: REPORT OF A RARE CASE

2019 ◽  
Author(s):  
Niharika Pandey ◽  
Parthsarthi Gautam ◽  
Satabdi Saha ◽  
Subrata Saha
Keyword(s):  
Genetic Factors ◽  
Rare Condition ◽  
Mixed Dentition ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Routine Practice ◽  
Unknown Aetiology ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth

Odontogenic anomalies are frequently observed by pedodontists in their routine practice. Concomitant hypodontia and hyperdontia is a rare condition of unknown aetiology. CHH may occur in both the jaws and is more common in the permanent and mixed dentition. This article, describes a case of non-syndromic CHH in the mixed dentition. Genetic factors probably play an important etiological role in the co-occurrence of partial anodontia and supernumerary teeth. A 7 year old boy showed a conical mesiodens and missing right primary central incisor. Radiographic examination of the patient revealed presence of succedaneous permanent teeth. Key Words: Concomitant hypohyperdontia, hypodontia, supernumerary tooth, mesiodens

scholarly journals Endodontic Management of Mandibular Second Molar Fused to a Supernumerary Tooth, Using Spiral Computed Tomography as a Diagnostic Aid: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Kavitarani Rudagi ◽  
B. M. Rudagi ◽  
Sandeep Metgud ◽  
Rahul Wagle
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Treatment Plan ◽  
Spiral Computed Tomography ◽  
Supernumerary Tooth ◽  
Spiral Computed ◽  
Successful Management ◽  
Second Molar ◽  
Mandibular Second Molar ◽  
Root Canal Morphology

Fusion is a developmental anomaly characterized by the union of two adjacent teeth. In this paper we report a rare case of fusion involving permanent mandibular second molar with supernumerary tooth. The rarity with which this entity appears, along with its complex characteristics, often makes it difficult to treat. The use of high-end diagnostic imaging modalities such as spiral computed tomography can help the clinician in making a confirmatory diagnosis and determining the treatment plan before undertaking the actual treatment. In the present case, we have used spiral computed tomography (SCT) for better understanding the complicated root canal morphology of the fused tooth and successful management of this rare case.

scholarly journals The consequences of an untimely diagnosed mesiodens: Case report

2007 ◽  
Vol 54 (4) ◽  
pp. 248-253 ◽  
Author(s):  
Slavoljub Tomic ◽  
Svjetlana Jankovic ◽  
Bojana Smrekic ◽  
Stevanka Djordjevic
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Older Age ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
X Ray ◽  
Follicular Cyst ◽  
Usual Manner ◽  
Partial Resorption

Supernumerary teeth may have all characteristics of normal teeth (dens supernumeratus) or, more frequently, appear as rudimentary remains of the tooth bud (dens accessories). Such teeth may cause various complications and the most frequent are orthodontic anomalies and follicular cysts. Among all supernumerary teeth, the most frequent is mesiodens. It may be of different shape, but most often is conical. Untimely diagnosed and treated mesiodens may, in older age, result in complications and compromise prosthodontic rehabilitation. The aim of this study was to present a case where untimely treatment (diagnostics and extraction) of a mesiodens resulted in the formation of a follicular cyst and a partial resorption of the root of an adjacent tooth (central incisor), which had to be extracted. The patient sought a prosthodontic treatment. However, a hazelnut-size tumor was found in the upper anterior region. Clinical and X-ray examination implied the presence of a follicular cyst around a supernumerary tooth, which was situated between upper central incisors. Cystical sac was removed in a usual manner along with the extraction of the impacted mesiodens. Unfortunately, the upper central left incisor had to be extracted as well due to a progressed root resorption.

scholarly journals Hypo-hyperdontia: a case report

2015 ◽  
Vol 63 (3) ◽  
pp. 331-336
Author(s):  
Henrique Castilhos RUSCHEL ◽  
Michelle DIAMANTE ◽  
Paulo Floriani KRAMER
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Mixed Dentition ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Dental Practice ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Adequate Treatment ◽  
The Right

The occurrence of hypodontia (absence of teeth) and hyperdontia (presence of supernumerary teeth) in the same patient is a rarely seen condition in dental practice. Early diagnosis and adequate treatment are very important when addressing this abnormality in the mixed dentition. The approach will depend on the severity of the case and the timing of diagnosis. This paper reports the case of an 11-year-old patient with absence of the permanent maxillary lateral incisors and the mandibular second premolars, with concomitant presence of a supernumerary tooth in the region of the right mandibular lateral incisor. Based on physical and radiographic examination findings, a diagnosis of hypo-hyperdontia was made. The diagnostic and therapeutic management of the case is discussed. The treatment adopted was surgical removal of the supernumerary teeth and esthetic restoration to transform the permanent mandibular canines into lateral incisors.

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