Management of ‘double teeth’ in children and adolescents

Shah, Purvi; Chander, June M. L.; Noar, Joseph; Ashley, Paul

doi:10.1111/j.1365-263x.2011.01209.x

Cited by 17 publications

(18 citation statements)

References 37 publications

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“…In general, the pathogenesis of this anomaly can follow two pathways. In particular, gemination occurs as a result of an attempted division of a single tooth germ, whereas fusion arises through the union of two normally separated tooth germs [6]. In order to avoid confusion in terminology, the use of the clinical definition "double teeth" is suggested [11].…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, and according to the most recent literature review performed by Shah et al [6], the alternative management options for double teeth in general include diverse treatment modalities varying from no intervention at all, preventive measures (periodic recalls, local fluoride application, dietary changes), orthodontic treatment, restorative treatment (endodontic therapy, composite restorations), to surgical measures (crown modification with or without hemisection, extraction). A list of the suggested treatment measures for fused primary incisors as well as a clinical protocol or their management are provided on Tables 4 and 5, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…However, environmental and genetic factors can be considered as basic contributors to the manifestation of dental anomalies [2][3][4]. Based on their type, they can be distinguished in anomalies in structure (amelogenesis imperfecta, dentinogenesis imperfecta, enamel hypoplasia), anomalies in number (hypodontia, hyperodontia), anomalies in size (microdontia, macrodontia), anomalies in eruption (transposistion, delayed or anticipated timing of eruption), and anomalies in shape (concrescence, gemination, fusion, dilaceration, double teeth) [5][6].…”

Section: Conclusion Introductionmentioning

confidence: 99%

“…In literature, there are few reports on the incidence [13] and management [6,8] of primary fused teeth. The reason is due to the temporary nature of the primary teeth which are usually extracted in case of complications, and thus, no evidence of possible treatment modalities has been reported so far.…”

Section: Conclusion Introductionmentioning

confidence: 99%

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Clinical management of fusion in primary mandibular incisors: a systematic literature review

Bernardi

Bianchi

Bernardi

et al. 2020

Acta Odontologica Scandinavica

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Objective: Dental anomalies occurring in deciduous teeth can affect the eruption of the permanent dentition and the occlusion stability. The occurrence of dental anomalies such as double teeth during the primary dentition in the daily practice might be frequent. The study aimed to qualitatively summarize the therapeutic management of double teeth in primary incisors.Material and Methods: A systematic review regarding the therapy of primary fused incisors in the mandible was performed and the obtained data were assessed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The following electronic databases were screened from 1st January, 1996 until 30th July, 2019: PubMed, Scopus, EBSCO and the archives of paediatric dental journals. The search terms were grouped in anatomic entity: (tooth OR teeth OR incisor), pathological condition: (fused OR fusion OR geminated OR double), intervention: (treatment OR intervention OR therapy OR prevention OR control OR management OR restoration), observed parameters: (primary dentition OR primary tooth OR primary teeth).Results: Ten articles met all inclusion criteria. The data disclosed the occurrence of double teeth in mandibular incisors. The main management of this clinical condition is either preventive or surgical involving the extraction of fused teeth, based on the deciduous nature of the teeth, the degree of caries and malocclusion development risk.Conclusion: An early diagnosis of dental anomalies is fundamental for the application of proper preventive strategies to avoid a potential malocclusion in permanent dentition and to maintain these teeth sound and caries-free until the eruption of the permanent dentition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Conclusion Introductionmentioning

confidence: 99%

Section: Conclusion Introductionmentioning

confidence: 99%

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Clinical management of fusion in primary mandibular incisors: a systematic literature review

Bernardi

Bianchi

Bernardi

et al. 2020

Acta Odontologica Scandinavica

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“…20,21 According to Shah et al, double teeth assessment should include the use of cone beam computed tomography as an imaging technique. 22 Three-dimensional dental CBCT has been shown to achieve good imaging quality with a lower radiation exposure than that of conventional CT. Three-dimensional imaging allows evaluation of the anatomical relationship of the double teeth to anatomical structures in any plane the clinician wishes to view. 23 There have been only four case reports in which CT was used in the imaging of double teeth.…”

Section: Discussionmentioning

confidence: 99%