Coexistence of fusion and concrescence of primary teeth: in a child with Down syndrome

Singh, Ashish Kumar; Bhatia, Hind Pal; Sharma, Naresh Kumar

doi:10.1111/scd.12218

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…29 However, the fascinating coexistence of both fusion and concrescence in deciduous incisors in the same arch with a history of local trauma makes the present case more extraordinary and worthy of reporting-as only one similar case has been reported in the literature by Singh et al In that case report, the presence of fusion in maxillary incisors and concrescence in the mandibular incisor region in an 8-year-old child with Down syndrome was reported. 30 No such medical association was observed in our reported case and the presence of both the fusion and concrescence was in the same dental arch. The fact that the condition affected both mandibular deciduous incisors also makes it a unique case.…”

Section: Discussionmentioning

confidence: 47%

Coincidence of Fusion and Concrescence in Mandibular Deciduous Incisors: A Case Report

Meisha

2019

The Journal of Contemporary Dental Practice

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Aim: The aim of this paper is to report a rare case in which two dental anomalies in primary dentition coexisted-fusion and concrescence in a 4-year-old boy. This highlights the significance of the accurate early diagnosis of these dental anomalies. Background: Odontogenic anomalies are frequently encountered in dental practice. These anomalies can occur due to abnormalities during the differentiation stage and lead to abnormalities in the hard tissue formation. Dental anomalies in number and form include fusion, gemination, and concrescence. Case description: Primary dentition with fusion between the right central and lateral primary incisors with increased mesiodistal width.Concrescence between the left central and lateral primary incisors with a groove through the incisal edge. Clinical observation along with radiographic evaluation using intraoral periapical (IOPA) radiographs and orthopantomogram (OPG) were used to arrive at a diagnosis. Conclusion: Early diagnosis of concrescence will reduce the risk of possible complications associated with any need of extraction later on. Monitoring the patient and long-term follow-up is required to manage the case with coexisting anomalies of true fusion and acquired concrescence. Clinical significance: A thorough history taking and clinical and radiographic evaluation of fusion and concrescence at an early stage result in an accurate diagnosis. A careful monitoring plan is a key to reduce the risk of possible complications later on.

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Section: Discussionmentioning

confidence: 47%

Coincidence of Fusion and Concrescence in Mandibular Deciduous Incisors: A Case Report

Meisha

2019

The Journal of Contemporary Dental Practice

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“…6 Singh et al presented a case report which discussed about the coexistence of fusion and concrescence of primary in Down syndrome child and they observed the presence of fusion in relation to 61, 62 and concrescence in relation to 81, 82. 12 Moraes et al investigated the incidence of conic teeth in 49 subjects with Down syndrome and it was found in 7 individuals (14.28%) had conic teeth (Table 1). 5 Tooth agenesis was present in 65% of individuals with Down syndrome 8 and it was mostly bilateral commonly involving lateral incisors and second premolars in both maxilla and mandible.…”

Section: Dental Anomalies Related To Down Syndromementioning

confidence: 99%

Dental Anomalies in Down Syndrome Individuals: A Review

Desingu¹,

Adapa²,

Devi³

2019

Journal of Scientific Dentistry

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Background and aim: Down syndrome, also denominated as trisomy 21, is a genetic alteration in which the affected individual carries an extra chromosome 21. Down syndrome patients have specific orofacial features such as mouth breathing, open bite, macroglossia, hypodontia, microdontia, anodontia, fissured tongue, malocclusion, low level of dental caries, poor oral hygiene, delayed eruption, small maxilla, retained deciduous teeth. The present review is aimed to evaluate the prevalence of dental anomalies in Down syndrome individuals. Materials and methods: The primary focus of the search was review articles, case report and observational studies explaining the common dental anomalies affecting Down syndrome individuals. Results: One review article, two case reports and twelve observational studies were included to this review. Prevalence of overall dental anomalies in Down syndrome individuals is about 50.47-95.52% and individual percentage of dental anomalies, taurodontism 9.52-85.71%; anodontia 34.69%; delayed eruption 2.04%; conic teeth 14.28%; microdontia 2.04-16.19%; fusion 2.04%; hypodontia 16.19-62%; fissured tongue 78%; retained teeth 10.17%; and teeth agenesis 30-81% were noticed in Down syndrome individuals. Conclusion: Individuals with Down syndrome exhibit high prevalence of dental anomalies compared to normal individuals. The most prevalent dental anomalies among these individuals were taurodontism, anodontia, hypodontia, fissured tongue and teeth agenesis. These outcomes reinforce that dental care should be directed to prevent and/or control problems and to improve oral hygiene status of Down syndrome individuals.

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