Management of geminated maxillary lateral incisor using cone beam computed tomography as a diagnostic tool

James, Elizabeth; Johns, Dexton Antony; Johnson, Kenneth I.; Maroli, Ramesh Kumar

doi:10.4103/0972-0707.131810

Cited by 5 publications

(9 citation statements)

References 13 publications

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“…In our case, the number of teeth was not reduced, as usually happens in cases of gemination, in fact, as reported by James EP et al, in the clinical situation, cases of fusion appear as congenitally missing tooth while in gemination, the number of teeth is normal, provided the double-tooth is considered as one unit [9]. The treatment of this dental anomaly is critical, especially in the anterior region, as in our case, because it can produce an unlikable aesthetic appearance due to uneven morphology [9 -22].…”

Section: Discussionsupporting

confidence: 73%

“…The aetiology is uncertain, but trauma, diseases, or genetics may be considered as possible causes [6 -12]. According to the tooth development stage at the time of union, dental fusion can be partial or total and it may occur between the teeth of the same dentition or between supernumerary teeth [9,10,12].…”

Section: Introductionmentioning

confidence: 99%

“…In the clinical situation, fusion and gemination are represented in different ways. The first appears as a congenitally missing tooth, whereas in gemination, the number of teeth is normal and provided the double-tooth is counted as one unit [9]. Gemination, also named twinning, is defined as an attempt of the tooth bud to divide.…”

Section: Introductionmentioning

confidence: 99%

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Orthodontic Management of a Mandibular Double-tooth Incisor: A Case Report

Marra¹,

Nucci²,

Femiano³

et al. 2020

TODENTJ

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The presence of a double-tooth requires specific complex management due to the need for differential diagnosis and following treatment choices. The aim of this report was to present a rare case of a geminated mandibular lateral incisor, treated with an orthodontic approach. A Caucasian 10.9-year-old girl presented a lower right double-tooth incisor, with a class 1 molar and a class 2 cuspid tendency on both sides. The upper arch was constricted as shown by bilaterally tendencies to cross-bite, a slightly lower midline deviation was reported and a lack of space for all four permanent cuspids was confirmed also by the panoramic X-ray. In the lower arch, there was a severe crowding of about 14 mm and a buccally ectopic left canine. Overbite was normal and Overjet minimally increased. The double-tooth was identified like a geminated tooth, for the presence of one root and one pulp canal of increased size, as shown by the radiographic examinations. The anomalous tooth was managed with an orthodontic approach associated with a progressive stripping to reshape the crown. A two-phase treatment plan was performed, based on first maxillary expansion and lip bumper and then fixed appliances, in order to achieve a proper occlusion and a better aesthetic.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

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Orthodontic Management of a Mandibular Double-tooth Incisor: A Case Report

Marra¹,

Nucci²,

Femiano³

et al. 2020

TODENTJ

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“…These include endodontic restoration, surgical, prosthetic, periodontal and orthodontic treatment. 16 Similarly in current case, integrated approach was adopted from extraction to endo-periotreatment and finally the restoration to improve dental occlusion and aesthetic appearance.…”

Section: Discussionmentioning

confidence: 98%

Odontogenic Cutaneous Fistula with Geminated Right Mandibular Second Molar: A Case Report

Chen¹,

Zao²

2021

BIOMEDICA

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Odontogenic cutaneous fistula is pathological sinus tract originating from the oral cavity to skin of the face and neck. Geminated teeth are rare, morphological alteration of teeth.This paper reports a case of buccal skin fistula caused by the geminated tooth on theright side of mandible. The anatomical morphology of the geminated tooth and the periapical and periodontal bone destruction were comprehensively determined by doing careful examination and radiographic investigations including cone beam computed tomography (CBCT).In this case, crown of geminated microdontia present on mesiolingual side was extracted and performed the periodontal and root canal treatment of tooth followed by the restoration of the normal occlusal relationship. This case explores the use of appropriate diagnostics and therapeutic measures for the complex cases.

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“…CBCT examinations give rise to a better understanding of root canal anatomy so that clinicians can investigate the root canal systems more effectively and clean, shape, and obturate them more efficiently. 13 …”

Section: Discussionmentioning

confidence: 99%