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Gemination or fusion? - challenge for dental practitioners (case study)
N Chipashvili1, D Vadachkoria, E Beshkenadze
1Tbilisi State Medical University, Department of Odontology, UniDent - Dental Clinic, Training and Research Center, Tbilisi, Georgia.
Georgian Medical News
|June 21, 2011
Summary
Gemination and fusion are rare dental anomalies affecting tooth shape and size. This case study highlights the challenges in differentiating these conditions and presents a successful aesthetic rehabilitation of bilateral geminated central incisors.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Dental Morphology
Background:
- Gemination and fusion are tooth development anomalies impacting morphology and size.
- These conditions, particularly gemination, often affect incisors and can lead to aesthetic concerns.
Observation:
- A 20-year-old male presented with bilateral geminated maxillary central incisors causing aesthetic issues and lip irritation.
- Clinical and radiological examination confirmed the diagnosis of bilateral gemination of central incisors.
Findings:
- The patient opted for aesthetic rehabilitation using two separate porcelain-fused-to-metal (PFM) crowns.
- Treatment involved significant adjustments to tooth length and width, improving aesthetics and patient satisfaction.
Implications:
- Accurate differential diagnosis between fusion and gemination remains challenging.
- Aesthetic rehabilitation should prioritize patient desires while considering conservative treatment approaches.
