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Bilateral triplicated primary central incisors: clinical course and therapy
Nelly Schultz-Weidner1, Franziska Ansari, Viola Mueller-Lessmann
1Department of Pediatric Dentistry, Justus-Liebig University of Glessen, School of Dentistry, Germany. Nelly.Schulz-Weidner@dentist.med.uni-giessen.de
Quintessence International (Berlin, Germany : 1985)
|June 15, 2007
Summary
This case study presents a rare bilateral fusion of primary maxillary incisors in a 4-year-old boy, complicated by infection and bone loss. Surgical extraction and prosthetic rehabilitation were necessary due to the severity of the dental anomaly.
Area of Science:
- Dentistry
- Developmental Biology
- Oral Surgery
Background:
- Dental anomalies, including tooth fusion and gemination, present unique clinical challenges.
- Understanding these rare developmental variations is crucial for effective patient management.
Observation:
- A rare case involving bilateral fusion of primary maxillary central and lateral incisors, along with a supplemental incisor, was observed.
- The patient, a 4-year-old Thai boy, presented with an abscess and fistula secondary to periapical osteolysis in the affected region.
Findings:
- The severe periapical pathology and unpromising prognosis necessitated the surgical extraction of the fused and supplemental teeth.
- Acute management involved the preparation of access cavities for the infection.
Implications:
- This case highlights the complex treatment pathway for severe dental anomalies.
- Restorative solutions, such as an acrylic denture, are vital for functional, esthetic, and phonetic rehabilitation following extraction.
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