Bilateral complete and incomplete fusion of incisors and its management

Costa, Godwin Clovis Da; Chalakkal, Paul; Souza, Neil De; Gavhane, Sanket

doi:10.4103/ccd.ccd_1090_16

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…If the fusion happens during the calcification stage, the fusion will be partial where the tooth has the size of two crowns fused together, a bifid crown, or both. [11,18] Consequently, our three cases can be considered an incomplete fusion since it is possible to differentiate where the fusion happened between the fused teeth. Two pulp chambers are clearly identified in the radiographs in case 1 and 2 whereas a single pulp chamber is recognized in case 3.…”

Section: Discussionmentioning

confidence: 99%

Tooth Fusion in Primary Teeth: A Case Series and Literature Review

Hussein¹

2021

J Pediatr Dent

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Tooth fusion is defined as the developmental dental anomaly in which two different tooth buds are fused into one during the development stage. It can involve both primary and permanent teeth, but its incidence has been found to be higher in anterior primary teeth involving mandibular anterior teeth. The etiology is unclear and may be related to physical pressure contact to the germ and genetic predisposition. The treatment options can vary in each child depending on the tooth mobility, morphology of the root canal system, the clinical appearance of the fused teeth, and the presence of malocclusion. This article presents three case reports of dental fusion between primary lateral incisor with primary canine in three patients. More interesting, Case 2 and case 3 were relatives and having similar fusion teeth. Clinical and radiographic examinations demonstrated the presence of incomplete fusion between primary lower right lateral incisor and canine in all cases, with bilateral aplasia of the succedaneous lateral incisor in case 1, whereas a unilateral aplasia of the correspondent permanent lateral incisor was noted in case 2 and 3. A preventive approach was provided, a fissure sealant on the deep fissure between the incomplete fusion teeth was placed in all cases, and periodic reviews were scheduled to prevent possible caries formation. Early detection of this anomaly ensures timely and appropriate clinical interventions to be performed, leading to treatment with predictable clinical outcomes and long-term prognosis and to prevent future complications. Furthermore, the incidence of fusion teeth that occurred in the similar region, similar teeth with positive family history indicates supporting the evidence of the shared genetic control of dental developmental disturbances.

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Section: Discussionmentioning

confidence: 99%

Tooth Fusion in Primary Teeth: A Case Series and Literature Review

Hussein¹

2021

J Pediatr Dent

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Tooth Fusion in Primary Teeth: A Case Report and Literature Review

Shah,

Panda,

Virda

et al. 2023

ClinicalDent

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Fused teeth represent an abnormality in dental development in which two tooth germs merge in the crown, root, or pulp stages. This anomaly occurs within the bone formation process, resulting in a structurally irregular tooth that can impact both the primary and the permanent dentition. Aesthetic concerns, space limitations, and an increased risk of cavities commonly accompany fused teeth. It's often confused with dental twinning, which shares similar clinical characteristics but originates from a single tooth germ. This study aimed to present a clinical case involving the fusion of two primary mandibular incisors, outlining potential treatment strategies and discussing its effects on dental development. Treatment involved extraction of the fused tooth and recommending orthodontic intervention to enhance both appearance and function. Collaborative planning between Pediatric Dentistry and Orthodontics facilitated a more effective treatment approach. Keywords: Case report, Dental anomaly, Fusion, Primary teeth

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Bilateral complete and incomplete fusion of incisors and its management

Cited by 2 publications

References 20 publications

Tooth Fusion in Primary Teeth: A Case Series and Literature Review

Tooth Fusion in Primary Teeth: A Case Series and Literature Review

Tooth Fusion in Primary Teeth: A Case Report and Literature Review

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