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Published on: February 23, 2024
Management options and long-term follow-ups for permanent double incisors: six to eleven-year case reports
Betül Şen Yavuz1, Batın Ilgıt Sezgin2, Barhan Pekel3
1Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Istanbul, Türkiye. dtbetulsen@gmail.com.
Background:
Double teeth are dental anomalies that can lead to aesthetic and orthodontic problems.
Case Presentation:
This report discusses two cases involving the multidisciplinary management of permanent maxillary left lateral incisors fused with a supernumerary tooth in two girls aged 9 and 10. Following intraoral and radiographic examinations, one was diagnosed with fusion, and the other was diagnosed with concrescence. The crown of the fused incisor was separated using a burs and extracted intraorally. The concrescent incisor was separated along its length using a laser and intentionally replanted extraorally. After a 6-year follow-up, no pathological signs were observed in the fused incisor. However, after an 11-year follow-up, external resorption was observed in the concrescent incisor.
Conclusions:
Both incisors remained asymptomatic throughout the observation period. This case report highlights two different and effective methods employed to preserve the natural function, form, and aesthetics of double incisors.
