Management of non-syndromic double tooth affecting permanent maxillary central incisors: a systematic review

Abstract

To assess management of non-syndromic double tooth affecting permanent maxillary central incisors, we performed a systematic review and also present 2 case reports. We searched MEDLINE via PubMed and the reference lists of included reports. Eligible studies were any type of clinical studies describing the management of non-syndromic double tooth affecting the crown of a permanent maxillary central incisor. We included 68 studies corresponding to 72 relevant case reports. Therapeutic options in descending order of priority were restorative dentistry (35%), hemisection (33%), abstention (17%) or extraction (15%). Orthodontic management resulted in 57% of cases. We report an 11-year-old boy with bilateral fusion of the two maxillary central incisors and a 9-year-old boy with a double left central incisor and a supernumerary lateral right incisor. A multidisciplinary approach is key to management of permanent maxillary central incisors affected by coronary anomalies.

Maksiller Daimi Kesici Dişte İzlenen Çift Diş Oluşumunun Tedavisi: Olgu Raporu

“…Bu nedenle çoğu araştırmacı bu dişler için "çift diş" terimini kullanmayı tercih etmektedir. [3][4][5] olarak ayırıcı tanı koymak zor olmaktadır. Bu nedenle çoğu araştırmacı bu dişler için "çift diş" terimini kullanmayı tercih etmektedir.…”

“…Bu nedenle çoğu araştırmacı bu dişler için "çift diş" terimini kullanmayı tercih etmektedir. [3][4][5] Ön dişlerde izlenen çift diş olguları estetik, fonksiyonel, ortodontik ve periodontal problemlere yol açabilmektedir. Ektopik erüpsiyon, sürme gecikmesi ya da çapraşıklığa yol açarak ark simetrisinde bozulma ve malokluzyon gelişebilmektedir.…”

“…Bu seçenekler arasında endodontik, restoratif ve cerrahi tedaviler bulunmaktadır. [3][4][5][6] Bu vaka raporunda 11 yaşındaki erkek çocuğun daimi üst sol santral dişini etkileyen çift diş olgusunun tedavisi anlatılmaktadır.…”

A Clinical Guide for the Management of Double Teeth

“…Le traitement endodontique est indiqué en cas de pathologie endodontique préexistante ou lors d'une exposition pulpaire inévitable au cours des coronoplasties, la conservation de la vitalité pulpaire voir la réalisation de coiffage quand les conditions le permettent, est privilégiée [55]. L'extraction est indiquée devant des morphologies aberrantes ou des échecs répétitifs du traitement endodontiques, avec un traitement de substitution (implant ou bridge) ou dans des cas orthodontiques avec extractions des prémolaires où on optera pour l'avulsion bilatérale des incisives et fermeture d'espace [28] , voir même dans des cas avec dents surnuméraires (la dent surnuméraire a une morphologie normale) où on procédera à l'autotransplantation de celle-ci dans le site de la dent double [8,49] . Le suivi est un maillon indispensable du succès de l'attitude thérapeutique et tous les articles inclus ont rempli ce critère avec un suivi au moins de 6 mois après traitement afin de vérifier la stabilité des résultats, selon la revue réalisée, nous avons pu souligner certaines attitudes relatives à chaque type de dent double, tandis que d'autres attitudes peuvent être similaires et ne dépendent pas uniquement de la morphologie.…”

Multidisciplinary management of a fused maxillary incisor: Case report with 5‐year follow‐up

“…Different approaches have been proposed to deal with cases of “double teeth” ranging from surgical separation followed by esthetic recontouring only, 4 or accompanied with endodontic treatment followed by orthodontic treatment as well 3,5 . A recent systematic review of 72 cases 6 showed that most of these cases required interdisciplinary management. Half of the cases were subjected to restorative treatment following surgical hemisectioning that did not always include removal of the sectioned fragment.…”