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Conservative Management of Fused and Geminated Permanent Anterior Teeth

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The purpose of this case report is to present an eight-year-old patient with a permanent right central incisor that was fused with a supernumerary tooth as well as a geminated permanent left central incisor, and to describe the surgical-orthodontic-restorative management of the resultant malocclusion in the developing dentition. The fused teeth were split, mesiodistal widths of both central incisors were reduced, and the incisors were orthodontically aligned into an ideal occlusion. Both maxillary central incisors maintained vitality and normal masticatory function. We also discuss the physiological basis of the treatment plan, the clinical considerations, and how problems associated with double teeth can be managed conservatively with minimally invasive treatments for an esthetically pleasing result. (J Dent Child 2019;86(3):164-8)
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Keywords: ORTHODONTICS; PULP VITALITY; RESTORATIVE DENTISTRY

Document Type: Case Report

Affiliations: 1: Ms. Kim is a dental student, Department of Paediatric Dentistry, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada 2: Dr. Symington is an oral surgeon in private practice, Toronto, Ontario, Canada 3: Dr. Kulkarni is an associate professor, Department of Paediatric Dentistry, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada;, Email: [email protected]

Publication date: September 1, 2019

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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