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Fused Teeth: A Review of the Treatment Options

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Abstract:

Fused/geminated teeth may cause esthetic, spacing, periodontal, eruption and caries problems. The present study describes two clinical cases of similar dental fusion and compromises different and individualized treatment methods based on the proper treatment needs of a patient. In the first case the fused tooth was separated and the supernumerary tooth was extracted intraorally. In the second case, due to the union structure of a fused tooth up to the apex, extraction and extraoral separation was considered a better alternative than the separation of the fused tooth intraorally. Clinical and radiographic controls of the two cases revealed that the teeth were symptom-free and all clinical and radiographic findings were within normal limits after the long term follow-up periods. Following careful clinical and radiographic examination and diagnosis, extraoral hemi-section and immediate replantation may be considered as an alternative treatment in appropriate cases where a permanent tooth is fused with a supernumerary one.

Keywords: DENTAL MANAGEMENT; FUSION; HEMISECTION; TREATMENT

Document Type: Review Article

Affiliations: 1: Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkey 2: Associate professor of orthodontics in private practice, Istanbul

Publication date: 2009-07-01

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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