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At least 163 records · Page 9Linked to original sources
PubMed2000

Unusual presentation of mandibular extraoral sinus in a fourteen year old girl: a case report.

A case of fourteen year old healthy girl with complaint of a discharging sinus on the lower right side of face is reported. All teeth were vital and there was no evidence of periodontitis. There was no history of extraction of a tooth. Total leucocyte count, differential leucocyte count, fasting blood sugar, chest x-ray and routine urine examination were within normal limits. Actinomycosis and scrofuloderma which simulate such a condition were ruled out by culture study. The intraoral periapical x-ray of mandibular molar showed questionable periapical changes at the time of presentation. But definite osteolysis was observed in the repeat radiograph after three months. It was decided to extract the second molar and curette the sinus tract. The extraction proved to be difficult. On examination of the extracted tooth, it was found that the mandibular second molar and second premolar were fused together. The radiograph of the tooth taken after extraction showed confluence of the premolar pulp with the periodontal membrane. On follow up, the lesion was found to heal satisfactorily.

Actinomycosis, Cervicofacial↗
PubMed2003

Endodontic and surgical treatment of a geminated maxillary incisor.

AIM: A geminated maxillary incisor required complex multidisciplinary treatment to preserve health and restore aesthetics. This report describes the coordination of coronal division, root extraction, bone grafting, endodontic treatment and orthodontics in achieving treatment goals. It is the intention of this report to show how a difficult case could be managed by properly coordinated multidisciplinary care. SUMMARY: Pulp testing of the geminated central right maxillary incisor gave a normal response. Radiographic investigation indicated a connection of the pulp chambers. Both the mesial and distal root were filled with gutta-percha. The connection between the two root canals was sealed with a flowable dentine-bonded resin. After dividing the crown with a diamond bur, the mesial part of the tooth was removed and the extraction socket was filled with beta-tricalcium phosphate ceramic (Cerasorb). Radiographs taken immediately after surgery and after 6 months showed no periodontal or periapical lesions. No signs of external resorption were identified. The diastema between the central incisors was closed by orthodontic treatment. KEY LEARNING POINTS: Geminated teeth may present aesthetic and functional problems which require multidisciplinary care. Careful clinical and radiographic examination is essential to decide on the fate of the coronal and root halves involved. A proper coordination between endodontic and surgical treatment may result in maintaining one tooth half, even if a midroot connection between the pulp chambers becomes evident. Orthograde endodontic treatment, hemisection and orthodontics may solve the aesthetic problem of a geminated tooth.

Bone Substitutes↗
PubMedDate not supplied

Primary incisor triplication defect.

Conjoining abnormalities occur in less than 1 percent of the population. Triplication of primary teeth is even a rarer phenomenon with a prevalence of 0.02 percent. This study describes the clinical features and the light microscopic appearance of a case of triplicated primary teeth. The teeth with the conjoined defect were examined by light microscopy to evaluate the exact level and appearance of the fusion area. The light microscopic examination revealed grooves and cracks consisting of enamel and dentine in the fusion area, fusion was irregular and both dentin and cementum were confluent. It is concluded that the clinician should identify children were conjoined anomalies and should be aware of the oncoming problems.

Anodontia↗
PubMed1996

Dental anomalies in the primary dentition: distribution and correlation with the permanent dentition.

The study consisted of analysis of all cases of anomalies in the primary dentition that were seen or treated by the authors in the Department of Children's Dentistry and Orthodontics. A total of 79 occurrences of anomalies was seen in 65 children. The anomalies detected were double teeth, hypodontia and supernumerary teeth. Radiographic examinations of the affected children showed that over 60% of the cases with anomalies in the primary dentition are associated with anomalies of the succadeneous permanent dentition. All subjects with hypodontia of the primary dentition presented with hypodontia of the permanent dentition. However, anomalies of the permanent dentition were seen in 59% of subjects with primary double tooth and 50% of subjects with primary supernumerary tooth.

Anodontia↗
PubMedDate not supplied

Dental fusion and dens evaginatus in the permanent dentition: literature review and clinical case report with conservative treatment.

This clinical case report describes concomitant developmental disorders in the permanent dentition. The concurrence of bilateral dens evaginatus and dental fusion is a rare dental anomaly. Dental fusion is characterized by the union of 2 adjacent teeth at the crown level, which produces the formation of an enlarged clinical crown. Dens evaginatus is an enamel elevation similar to a cusp, generally located in the main groove of molars and premolars. The etiology of both anomalies is uncertain. The purpose of this paper was to review the related literature and present a clinical case where both anomalies are present.

Adolescent↗
PubMed2004

Permanent double teeth and hypodontia in a pair of monozygotic twins: case report.

Double and congenitally missing teeth are known to be commoner in the primary dentition than the permanent. The knowledge of this trait in the permanent dentition in Africa is still poor. This paper describes the clinical findings in a pair of monozygotic Nigerian twins. This illustrates the claims of genetic basis of such conditions, which have been reported severally in developed parts of the globe but not much among the indigenous Nigerian Negroid population especially involving the permanent dentition.

Anodontia↗
PubMed1995

The possible association between localized juvenile periodontitis and supernumerary teeth.

Supernumerary teeth and localized juvenile periodontitis in the same patient is a very unusual finding. Only 5 cases are reported, 2 of which were identical twins. An additional 2 cases are presented in which localized juvenile periodontitis was associated with multiple supernumerary premolars. These cases are strikingly similar to 3 of the previously reported cases, raising the possibility that this combination of disorders may be more than a chance association.

Adolescent↗
PubMed2002

Bilateral connation of permanent mandibular incisors: a case report.

Connated teeth are the consequences of developmental anomalies leading to the eruption of joined elements. According to current definitions, gemination occurs when one tooth bud tries to divide, while fusion occurs if two buds unite. Clinical experience shows, however, that diagnosis can be complicated due to superimposed anomalies. This report describes a unique case of bilateral fusion of permanent mandibular incisors and discusses the differential diagnosis and possible future treatment options anticipated for this particular case.

Child↗
PubMed1986

A retrospective study of double teeth in the primary dentition.

The study was carried out on 20 subjects with evidence of double teeth, which included gemination and fusion, in the primary dentition. The age of the subjects ranged from 2 1/2 to 9 years. The results of the study indicated that double teeth occurred more frequently in the males and that fusion was much more prevalent than gemination. The frequency of occurrence in the right and left side of the jaws was comparable. About 79 percent of the occurrence was seen in the mandibular arch. A high proportion of fusion was found to involve the lateral incisors and canines. In 50 percent of the occurrence, hypodontia of the permanent dentition was observed, all of which involved the lateral incisors. The clinical significance of the condition was also discussed.

Child↗
PubMed2001

Variations in number and morphology of permanent teeth in 7-year-old Swedish children.

OBJECTIVES: To establish the prevalence of numerical and morphological variations of permanent teeth in Swedish 7-year-olds and to accept or reject the hypothesis of a higher prevalence for these conditions in northern Sweden compared to other areas. DESIGN: Cross-sectional. SETTING: Department of Odontology/Pedodontics, Umeå University, Sweden. SAMPLE AND METHODS: A total of 739 healthy Caucasian 7-year-olds residing in the city of Umeå, northern Sweden in 1976. The children were examined clinically and radiographically. RESULTS: The prevalence of hypodontia (excluding third molars) in girls was 8.4%, in boys 6.5%, and in both sexes combined 7.4%. Of the children with hypodontia, the majority (90.9%) lacked one or two teeth. Lower second premolars were the teeth most frequently missing. The prevalence of hyperdontia was 1.9%; 11 girls and three boys were affected; 78% of the supernumerary teeth were mesiodenses. Of the morphological variations, peg-shaped upper lateral incisors were found in 0.8% of the children, double-formation (gemination) in 0.3%, taurodontism in 0.3% and dens invaginatus in 6.8%. One diagnosis was found in 18% of the children, and in almost 8% of them more than one diagnosis was found. CONCLUSIONS: The results agree with those obtained in similar populations and are considered representative of this ethnic group. The hypothesis of a genetically determined higher prevalence of numerical and morphological variations in the study population was not verified.

Anodontia↗
PubMedDate not supplied

Multidisciplinary treatment of "twinned" permanent teeth: two case reports.

Twinned teeth usually appear in the anterior region of the dental arch. Besides orthodontic malocclusions, such as protrusion, crowding, or diastema, they also cause esthetic problems. Different treatment methods can be used according to the requirements of the situation. This article reports multidisciplinary treatment of 2 patients whose maxillary central teeth were twinned with supernumerary incisors. The twinned tooth was reshaped following endodontic treatment in 1 of the patients and orthodontic treatment was performed with edgewise mechanics. In the second case, however, it was determined that the twinned tooth had 2 separate roots. There was also another supernumerary lateral incisor in the dental arch that increased the severity of the crowding. The twinned tooth was hemisected and the other supernumerary tooth was extracted. The patient wore a removable appliance for initial tooth movements and treatment was finished with fixed appliances.

Adolescent↗
PubMed2002

Endodontic and periodontal treatments of a geminated mandibular first premolar.

AIM: To describe a rare case of gemination involving a mandibular first premolar. SUMMARY: The complex morphology of geminated teeth renders their endodontic and periodontal management difficult. Root canal and periodontal treatments were performed on a geminated mandibular first premolar with three canals. Clinical examination showed two separated crowns with united roots. Radiographically, two distinct pulp chambers with two joined and a third independent canal were seen. Conventional root canal treatment resulted in complete healing of the apical lesion. However, the occurrence of a vertical fracture led to the extraction of the mesial segment. At the follow-up visit, the distal segment was clinically healthy and continued to satisfy functional demands.

Adult↗
PubMedDate not supplied

The prevalence and expression of primary double teeth in western India.

Double primary teeth occur in a sample of children from western India at a prevalence rate of 1.5 percent with no sex predilection, typically occurring unilaterally, and without preference for involvement of the central incisor and lateral incisor or the lateral incisor and canine. A higher incidence of fusion over gemination was also found. An examination of the world-wide distribution of the trait suggests European and European-derived populations exhibit universally low incidences, while Asian and Asian-derived populations exhibit relatively higher frequencies. The intermediate incidence reported for western India is in agreement with previous findings with primary dental morphology, suggesting an intermediate genetic affiliation between Asian and European samples.

Child, Preschool↗
PubMed2006

Nonsurgical endodontic retreatment of geminated teeth: a case report.

The purpose of this case presentation is to describe nonsurgical retreatment of anterior teeth with gemination. A 21-year-old male patient was referred for endodontic treatment of his maxillary left lateral incisor. In the clinical examination, a large crown was observed in the left maxillary incisor region when compared with the right maxillary lateral incisor. In the present case, a tooth gemination of a maxillary lateral incisor has been described. A periapical radiograph showed that the tooth had partially separated two crowns having a single root and one root canal, but the access cavity of the distal crown had not been opened, and the root canal had been obturated with single cone technique. Nonsurgical endodontic retreatment was decided for geminated lateral incisor. At the 6-month follow-up, the tooth was asymptomatic and there was no radiolucency around the apical region.

Adult↗
PubMed1994

Mirror-image dental fusion and discordance in monozygotic twins.

A pair of monozygotic twins had similar but not identical dental anomalies. One twin had fusion of deciduous mandibular lateral incisor and canine on the left, with normal dentition on the right; the co-twin had right mandibular incisor/canine fusion, with aplasia of the lateral incisor on the left. These findings are discussed in the context of the related phenomena of situs inversus, mirror-imaging in twins, and gradients of severity of anomalies in the four copies of the mandibular developmental dental field.

Anodontia↗