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

2021 ◽  
pp. 71-72
Author(s):  
Komal Ghiya

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.

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Elif Tarım Ertaş ◽  
Meral Yırcalı Atıcı ◽  
Hakan Arslan ◽  
Bilal Yaşa ◽  
Hüseyin Ertaş

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.


2015 ◽  
Vol 5 (2) ◽  
pp. 70-72
Author(s):  
Nitin Agarwal ◽  
Debanti Giri ◽  
Saurabh Mathur ◽  
Kirti Agarwal

Dental fusion also called ‘synodontia’ is a rare dental developmental anomaly in which the union of two independently developing primary or permanent tooth buds occurs. Tooth fusion is defined as union between the dentin and / or enamel of two or more separate developing teeth. The fusion may be partial or total depending upon the stage of tooth development at the time of union. The etiology of fusion is still unclear. The overall prevalence of the tooth fusion is approximately 0.5%. Fusion may be unilateral or bilateral and most often occurs in primary teeth with more predilections for anterior teeth. Clinically fused anterior teeth frequently have a groove or notch on the incisal edge that goes in buccolingual direction and radiographically, the dentin of fused teeth always appears to be joined in some region with separate pulp chambers and canals. Hence the cases of fusion of permanent teeth in different ages are presented.Bangladesh Journal of Dental Research and Education Vol.5(2) 2015: 70-72


2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Suresh Ramamurthy ◽  
Ramaswamy Satish ◽  
Kalidass Priya

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.


Author(s):  
PG Anjali ◽  
Balagopal Varma ◽  
J Suresh Kumar ◽  
Parvathy Kumaran ◽  
Arun Mamachan Xavier

Hypodontia is a developmental dental anomaly defined as the absence of one or more primary or permanent teeth excluding third molars. It can be associated with syndrome or nonsyndromic condition accompanied with other developmental dental anomalies like microdontia. Bilateral occurrence of hypodontia alongside microdontia is a rare condition. This case report presents a rare occurrence of bilateral hypodontia and microdontia in a nonsyndromic patient. Owing to its nonsyndromic background, other parameters like developmental delay, height, weight and body mass index are used as the predicting factors for the occurrence of hypodontia. Developmental milestones are one of the important factors in deriving the treatment plan. Treatment options in this case were directed at delaying the treatment until the eruption of the permanent successor teeth followed by the use of mini-implants for hypodontia, porcelain jacket crown for microdontia and the orthodontic treatment for final space closure.


Author(s):  
Theeb Saed Saad Aljuaid ◽  
Bhari Sharanesha Manjunatha ◽  
Holenarasipur Vasantakumar Amith ◽  
Rayan Ali Alshehri ◽  
Faisal Bandar Alharthi ◽  
...  

Background: Developmental dental anomalies are seen as abnormalities in tooth size, shape, position, and structure due to multiple reasons during various stages of tooth development. These anomalies can create disturbances in dental arch lengths and occlusions. Hence, it is very important to treat, recognise and perform proper treatment. The purpose of this study was to find out the prevalence and distribution of selected developmental anomalies in shape, size and position of teeth in the Saudi population of Taif Region.Design and Methods: The study was based on the clinical examination of 2481 adults who are Saudi nationals came for dental treatment from September 2019 to February 2020, at Taif University Dental Hospital, Saudi Arabia. These patients were examined clinically for developmental dental anomalies affecting shape, size and position.Results: We found that a total of 512 individuals (20.63%) had developmental anomalies and out of which 386 persons (15.56%) had at least one developmental dental anomaly. The frequency and distribution of anomalies of shape and size, number and position were 46.8%, 26.9% and 42.9% respectively. In the present study, 15.56% individuals exhibited at least one anomaly, 8.54% subjects had more than one anomalies and 79.36%.did not any developmental anomaly. On comparison, statistical significant results were seen between different groups of anomalies.Conclusions: The present study had varying results for the prevalence rate of selected dental anomalies. This variation in results might be due racial differences or discrepancy in sample size or/and diagnostic or inclusion criteria. Treatment of developmental anomalies necessitates a multidisciplinary approach and mostly may comprise of orthodontic correction or prosthetic replacement.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Mouna Ben Salem ◽  
Farah Chouchene ◽  
Fatma Masmoudi ◽  
Ahlem Baaziz ◽  
Fethi Maatouk ◽  
...  

Primary double teeth (PDT), referring to either gemination or fusion, are one of the most important and frequent developmental dental anomalies that can affect children’s oral health. Many clinical complications are correlated with these anomalies, such as dental caries, malocclusions, periodontal problems, and dental anomalies in permanent dentition. The aim of this report was to describe, through two cases, a case of gemination and another of fusion, the clinical management, the consequent effects, and the possible repercussions of these two developmental abnormalities on permanent successors. The first case involved gemination of the primary maxillary left central incisor (#61) in a 6-year-old boy. The patient presented with dental caries in the geminated tooth and its contiguous primary left lateral incisor (#62). The radiological examination revealed a slight developmental delay in the permanent left lateral incisor (#22). The treatment plan involved performing a pulpotomy and restoring the dental crowns of the affected teeth. The second clinical case describes a 6-year-old girl with unilateral fusion between a primary mandibular lateral incisor (#72) and a supernumerary tooth (#72’). The treatment included restoration of the deep grooves of the fused teeth using flowable composite and coronal restoration of the contiguous left primary canine (#73). Clinical and radiological follow-ups were performed every 3 months to monitor the development of teeth. No clinical and radiological symptoms were noted during the follow-up visits. PDT may require a multidisciplinary treatment. They should be diagnosed early to avoid and treat any possible complications in both the primary teeth and their permanent successors.


2018 ◽  
Vol 14 (2) ◽  
Author(s):  
M.C. Ibarra

Abstract: To determine the frequency and distributionof dental anomalies of shape and numberin primary dentition. Methods: The study is retro-prolective, crosssectionaland descriptive. The sample was probabilistic,stratified for convenience by gender. Theclinical record of 1,568 patients was reviewed.These patients attended the Clinic of PediatricDentistry of FEBUAP during the period of 2012-2014, only 720 records of patients were includedin the study (321 girls and 399 boys) between theages of 1-10 years old, who provided complete,crisp radiographic studies with the presence ofdental anomalies of shape or number, the studywas divided into active and inactive patients.For inactive patients, photographs of x-rays withdental anomalies of shape and/or number weretaken. For cases with active patients, an interviewwith one of the parents was conducted andauthorization with informed consent was requested,also the child agreed to do a clinical examinationand take intraoral photographs. Results:A total of 63 children had anomalies (17girls and 46 boys). The total prevalence of dentalanomalies was 9%, of which 3.1% were (fusedand geminated teeth), 1.1% (agenesis) and 1.9%(supernumerary), 1.3% (supernumerary roots),0.27% (macrodontia), 0.11% (microdontia), andfinally 0.27% corresponded to (talon cusp). Conclusions: Although the prevalence of theseanomalies is not high, it is important to do a routineradiographic examination for early diagnosisand accordingly apply the correct preventivemeasures to establish the best treatment plan.


2018 ◽  
Vol 55 (4) ◽  
pp. 582-589 ◽  
Author(s):  
Elaine Li Yen Tan ◽  
Meaw Charm Kuek ◽  
Hung Chew Wong ◽  
Serene Ai Kiang Ong ◽  
Mimi Yow

Objective: Children with cleft lip and palate are reported to be commonly associated with higher prevalence of dental anomalies such as hypodontia, supernumeraries, and abnormalities in tooth size, shape, and position. This study investigated the prevalence of dental anomalies in a longitudinal cohort of children with unilateral cleft lip and palate (UCLP). Design: The study was a retrospective analysis of radiographs, study models, and treatment notes. Patients: Sixty patients with repaired UCLP aged 13 years old with complete dental records dating from 5 years of age were included. Methods: Study casts, dental panoramic, anterior maxillary occlusal, and periapical radiographs of the patients were examined for cleft-sidedness, congenitally missing permanent teeth, supernumerary teeth, microdontic, and macrodontic teeth in the anterior maxillary region, presence of malformed permanent cleft-sided lateral incisor and its morphology (peg-shaped, conical shaped, canine-formed), positions of the permanent lateral incisors relative to the cleft side and presence of rotated cleft-sided central incisors. Results: Of the 60 patients studied, 63.3% had hypodontia, 21.7% had supernumerary teeth, 69.6% had microdontia, and 12.5% had macrodontia. All of the cleft-sided permanent lateral incisors had associated anomalies, with a large proportion (43.1%) missing; and when present in 31 subjects, the majority (90.3%) was positioned distal to the cleft. Most of the cleft-sided permanent central incisors were rotated if present, and prevalent at 86.7%. Conclusion: A high prevalence of dental anomalies was observed in this sample of children with UCLP.


Author(s):  
João Paulo Schwartz ◽  
Daniela Gamba Garib

Summary Background/Objectives This retrospective study evaluated the prevalence of dental anomalies of number in different subphenotypes of isolated cleft palate. Materials/Methods The sample comprised 26 individuals with submucous cleft palate (group S) and 68 individuals with complete cleft palate (group C) aged between 9 and 12 years from a single centre. Panoramic radiographs were evaluated regarding the presence of dental anomalies of number in permanent teeth. Intergroup comparison was performed using chi-square tests (P < 0.05). Results Tooth agenesis was found in 34.61 and 36.76 per cent of group S and group C, respectively. The most commonly missing teeth were the maxillary second premolar, maxillary lateral incisor, and mandibular second premolar. Supernumerary teeth were found in none and 1.47 per cent of the individuals with submucous and complete cleft palate, respectively. No statistically significant difference was found between groups for the frequency of tooth agenesis and supernumerary teeth. Limitations Only dental anomalies of number were evaluated. Conclusions/Implications Individuals with submucous and complete cleft palate showed similar prevalence for tooth agenesis and supernumerary teeth. Dental anomalies frequency seems not to be a discriminator for subphenotypes of cleft palate.


2013 ◽  
Vol 18 (4) ◽  
pp. 1361-1367 ◽  
Author(s):  
R. R. Gomes ◽  
J. A. C. Fonseca ◽  
L. M. Paula ◽  
A. C. Acevedo ◽  
H. D. Mestrinho

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