Management options and long-term follow-ups for permanent double incisors: six to eleven-year case reports.

BACKGROUND: Double teeth are dental anomalies that can lead to aesthetic and orthodontic problems. CASE PRESENTATION: This report discusses two cases involving the multidisciplinary management of permanent maxillary left lateral incisors fused with a supernumerary tooth in two girls aged 9 and 10. Following intraoral and radiographic examinations, one was diagnosed with fusion, and the other was diagnosed with concrescence. The crown of the fused incisor was separated using a burs and extracted intraorally. The concrescent incisor was separated along its length using a laser and intentionally replanted extraorally. After a 6-year follow-up, no pathological signs were observed in the fused incisor. However, after an 11-year follow-up, external resorption was observed in the concrescent incisor. CONCLUSIONS: Both incisors remained asymptomatic throughout the observation period. This case report highlights two different and effective methods employed to preserve the natural function, form, and aesthetics of double incisors.

Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature review.

BACKGROUND: Double teeth are usually the result of an abnormality in the developing tooth germ. Double teeth can occur in either the primary or permanent dentition, with the majority of cases concerning permanent teeth reported in the anterior teeth and less frequently in the molar teeth. CASE PRESENTATION: This report illustrates five cases of double teeth in molars with pulp and periapical disease, including one case of geminated teeth and four cases of fused teeth. Radiographic findings revealed the presence of extra teeth on the buccal aspect of the molar in five cases, with or without communication between the two root canal systems. Root canal treatment was performed by using CBCT and a dental operating microscope. The treatment outcome was good in all five cases. CONCLUSION: The diagnosis and treatment of double teeth requires special attention. The root canal system should be carefully explored to obtain a full understanding of the anatomy, allowing it to be fully cleaned and obturated. Proper anatomical structure analysis prior to treatment facilitates the development of an appropriate treatment plan, thereby increasing the likelihood of successful treatment both aesthetically and functionally.

Management of Fused Anterior Teeth: Review and Clinical Report.

The phenomenon of fusion is a type of tooth dysplasia, but few studies have systematically described the treatment of this kind of abnormality. This paper summarizes the treatment methods for fused teeth and classifies the management schemes according to whether the pulp is fused. Then, the treatment for a patient with bilateral anterior tooth fusion is reported. After orthodontic treatment, porcelain veneers were used to restore the normal shape and aesthetic appearance of the anterior teeth.

Treatment of impacted double teeth using 3D surgical simulation in a school-age child: a case report.

This report presents the therapeutic approach and results of a case of impacted undeveloped double teeth using 3D simulation in a school-age child. A 10-year-old girl was referred to hospital for the evaluation and treatment of fully impacted premolar double teeth in the left maxillary area. After evaluation, the double teeth were surgically removed, hemisected, and replanted after modification. For accurate surgery, replicas were made of the double teeth using CBCT and a 3D printer, and several mock surgeries were performed. Although remarkable signs for clinical and radiologic pathology were not found at the 5-month follow-up, short root with infraocclusion was found at the 30-month follow-up. This treatment widened the treatment spectrum with modern diagnostic approaches and preparation in large double teeth in children.

A rare case of bilateral double incisors; Early orthodontic management.

A safe and suitable approach in the treatment of unusual malformed anterior maxillary teeth would be to accept a birooted fused incisor as two central teeth by moving it across the midpalatal suture and improve the frontal esthetics.

Rare case of gemination of mandibular third molar-A case report.

Fusion and germination are the anomalies that occur due to some developmental eccentricity during the time of morpho-differentiation of the tooth bud and have a close resemblance to each other. The gemination is an attempt of the division of a single tooth into two and, hence, appears as an enlarged single tooth while the tooth count is normal when the affected tooth is counted as one. Its exact pathogenesis is ambiguous. This anomaly has been observed mostly in deciduous dentition as compared to that in permanent dentition. Gemination is rarely associated with the third molar and, hence, the terminology is arguable when this condition is seen in relation to the third molar. In the present article, a case of germination of mandibular third molar has been reported.

Simultaneous occurrence of triple teeth and double teeth in primary dentition: A rare case report and review of the literature.

This paper reports the case of a 3-year-old male patient with triple teeth in the right maxillary incisor region and double teeth in the left mandibular incisor region. He had pre-existing medical conditions. The triple teeth were extracted and examined using micro-computed tomography. A literature review was performed to discuss this abnormality.

Unilateral fusion of mandibular permanent lateral incisor with canine: A report of a rare case.

Fusion is a developmental anomaly which occurs due to a union of one or more adjacent teeth during morpho-differentiation of the dental germs. Early diagnosis of this condition is important because it may cause clinical problems, such as esthetic concerns and arch asymmetry. These anomalies may be unilateral or bilateral and may affect either dentition, although the deciduous teeth are more commonly affected. This report describes a rare case of unilateral fusion between the mandibular permanent lateral incisors and the canine. Only few cases have been previously reported in the English literature. Hence this article aimed at reporting a case of this rare condition and evaluating the presence of any associated pathology.

Twin tooth on either side: a case report of bilateral gemination.

Gemination is an anomaly caused by a single tooth germ that attempted to divide during its development, resulting in a bifid crown. They are found more frequently in the primary than in the permanent dentition unilaterally, but bilateral gemination is very rare. It is caused by complex interactions among a variety of genetic and environmental factors. This developmental anomaly may cause clinical problems including esthetic impairment, periodontal problems, caries, and tooth crowding. Here, we report a unique case of bilateral gemination of permanent maxillary central incisors.

Talon cusp in fused teeth: A rare concomitant occurrence.

Talon cusp and fusion of teeth are two separate developmental dental anomalies affecting both primary and permanent dentitions. While the former is more common in permanent maxillary incisors, the latter occurs more commonly in deciduous maxillary anterior teeth. This paper describes a rare case of talon cusp in fused teeth affecting the permanent mandibular incisors. A note on the etiopathogenesis of these two anomalies and a possible hypothesis on their concurrent occurrence are mentioned. The importance of awareness and understanding of these lesions and the prophylactic measures to prevent complications is also discussed.

Bilateral fusion of permanent mandibular incisors with Talon's cusp: A rare case report.

Whenever nature diverts from the "normal or usual" it gives rise to something called "abnormal or unusual," which we call "a Disorder". Fusion of two teeth is a common developmental disorder that is seen by a clinician. However, bilateral fusion along with Talon's cusp is very rarely seen and reported in literature. This article describes a rare case of the bilateral fusion of permanent mandibular central and lateral incisors, along with presence of Talon's cusp on the left fused teeth.

Esthetic rehabilitation of bilateral geminated teeth: a case report.

Geminated 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 gemination of permanent maxillary central incisors. The esthetic rehabilitation of the geminated incisors accomplished utilizing all ceramic crowns. It is important that in these types of cases, reaching to the available esthetics and avoiding the complication of caries and periodontal problems with prosthetic application is satisfactory.