Multidisciplinary treatment dilacerated central incisor associated with impacted canine and congenital missing lateral incisor: a case report

2012 ◽  
Vol 54 (4) ◽  
pp. 306
Author(s):  
Seniz Karacay ◽  
Arzu Atay ◽  
Ersin Yildirim
2018 ◽  
Vol 9 (1) ◽  
pp. 43-47
Author(s):  
Vinicius I Mascarenhas ◽  
Thaís P Leandrin ◽  
Camila C Lorenzetti ◽  
Camila L de Castro ◽  
Jose RC Saad

ABSTRACT Aim The aim of this case report was to restore the esthetic smile of a patient with agenesis of maxillary right central incisor, while discussing the most important topics in a multidisciplinary approach. Background Due to the absence or loss of some teeth in the anterior region, it becomes a challenge in oral rehabilitation. Restoration of function and esthetics may require a multidisciplinary treatment that can start with periodontal, orthodontic, surgical, implantology, or restorative evaluation. Case report A 28-year-old patient with agenesis of the maxillary right central incisor was looking to improve the esthetics of his smile. The patient had right superior lateral incisor positioned in place of the central and the canine in the position corresponding to the lateral incisor, which compromised the dental and gingival esthetics. After analyses and digital smile design (DSD), surgeries for gingival smile correction, gingivectomy (teeth 12, 14, and 15), and gingival tissue grafts (tooth 13) were made. After a period of 2 months, preparations were made on teeth 12, 13, and 14 for ceramic laminates following the initial DSD. After 1 year of cementation, maintenance and stability of gingival margin, as well as the integrity of laminate ceramic were observed. Conclusion In conclusion, a correct prior planning of esthetic rehabilitation is the best way to achieve excellent results to meet the needs and objectives of each patient. Often, a multidisciplinary treatment involving surgical and restorative procedures should be taken into consideration, with the appropriate choice of techniques and materials to be used. Clinical significance The treatment performed on the patient allowed the esthetic improvement of gingival architecture and installation of ceramic restorations with function and esthetics similar to natural teeth. How to cite this article Mascarenhas VI, Leandrin TP, Lorenzetti CC, de Castro CL, Saad JRC. Esthetic Multidisciplinary Rehabilitation of Patient with Central Incisor Agenesis. World J Dent 2018;9(1):43-47.


2020 ◽  
Vol 9 (6) ◽  
pp. 614-616
Author(s):  
Tamara Fernandes De Castro ◽  
Glauco Issamu Miyahara ◽  
Carla Renata Sanomiya Ikuta ◽  
Leda Maria Pescinini Salzedas

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. 


2020 ◽  
Vol 6 (1) ◽  
pp. 72-74
Author(s):  
Huma Iftekhar ◽  
Boris Saha ◽  
Surendra K Mishra

Maxillary lateral incisors are generally considered as a tooth with a single root and single canal. This is not true in all cases as case reports have advocated maxillary lateral incisors showing two roots with two or three root canals, Thorough knowledge of the internal and external dental anatomy and its variations is essential for a successful endodontic treatment. This case report deals with the periapical surgery in a two rooted maxillary lateral incisor along with the central incisor.


Author(s):  
SM Omar Faruk ◽  
Imtaz Ershadul Haque ◽  
Md Zakir Hossain

This article describe the treatment of a boy of 15 years old, with Class I malocclusion and anterior crowding and rotated upper right central incisor. The patient had thick and fleshy extra labial frenum between upper right central and lateral incisor. The patient had also rotated supernumerary tooth labial to upper right lateral incisor. The patient was treated by extraction of supernumerary tooth and frenectomy followed by derotation of right central incisor with standard edgewise orthodontic therapy.Ban J Orthod & Dentofac Orthop, October 2012; Vol-3, No.1


2015 ◽  
Vol 11 (2) ◽  
pp. 171-174 ◽  
Author(s):  
D Das

Any type of aesthetic correction in dental practice is always a challenging task, especially when it is complicated with cleft lip and alveolus. Careful examination and correct decision making at early stage of treatment and multi disciplinary approach is always necessary for long term success. This paper described a multidisciplinary approach in managing a 19-year-old female patient with unilateral cleft alveolus impacted maxillary canine , missing lateral incisor and hypoplastic central incisor by surgical , orthodontic and prosthodontic means. The impacted canine was surgically exposed and orthodontic traction given to bring it into the normal alignment. The missing lateral incisor was replaced by a fixed bridge with a ceramic gingival fixed prosthesis to manage alveolar cleft. At the same time the hypoplastic defect of central incisor was hidden by the full coverage retainer used for the bridge abutment on the tooth. DOI: http://dx.doi.org/10.3126/kumj.v11i2.12497 Kathmandu University Medical Journal Vol.11(2) 2013: 171-174


2021 ◽  
Vol 7 (3) ◽  
pp. 177-180
Author(s):  
Ranjeet Kumar Chaudhary ◽  
Prince Kumar

Maxillary central incisor is the most commonly affected tooth during trauma followed by maxillary lateral incisor and mandibular incisors. Trauma to the anterior tooth requires urgent care because of the essentiality of preserving the natural tooth. When a complicated crown a fracture takes place, it necessitates endodontic treatment and restoration of a fractured crown segment with post in the canal. This case report describes a patient with a broken central incisor and treated with a Richmond crown.


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