Five developmental anomalies in a single patient: a rare case report
Freny R Karjodkar1, Santosh Mali, Subodh Sontakke
1Professor and HOD, Department of Oral Medicine and Radiology, Nair Hospital Dental College , Mumbai-400008, Maharashtra, India.
Journal of Clinical and Diagnostic Research : JCDR
|January 4, 2013
Summary
This case report details a rare fusion of a permanent lateral incisor with two supernumerary teeth, presenting multiple developmental dental anomalies. These complex dental anomalies pose significant treatment challenges, requiring a multidisciplinary approach for successful management.
Area of Science:
- Dentistry
- Oral Medicine
- Radiology
Background:
- Developmental dental anomalies represent significant deviations in tooth color, contour, size, number, or development.
- These anomalies can stem from local or systemic factors, affecting either deciduous or permanent teeth.
- Such dental issues impact aesthetics, complicate treatment, and can lead to further oral health problems.
Observation:
- A rare case involved the fusion of a permanent right lateral incisor with two supernumerary teeth.
- The affected teeth exhibited dens invaginatus, dilacerations, a talon's cusp, and a periradicular lesion.
- Clinical and radiographic findings confirmed the complex nature of this dental anomaly.
Findings:
- The diagnosis confirmed fusion of the permanent lateral incisor with two supplementary teeth.
- All three fused teeth displayed dens invaginatus, root dilacerations, and a talon's cusp.
- A chronic periapical lesion was present in conjunction with these developmental anomalies.
Implications:
- The rarity and complexity of this dental anomaly present significant treatment challenges.
- A multidisciplinary approach involving various specialists is crucial for successful treatment planning and execution.
- Understanding and managing such complex cases are vital for improving patient outcomes in restorative and surgical dentistry.
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