Journal of South Asian Association of Pediatric Dentistry

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VOLUME 1 , ISSUE 1 ( January-June, 2018 ) > List of Articles

CASE REPORT

Dental twinning in Primary Dentition: A Case report

Ramachandra Jaya Agali, Nidhi.K. Nihal, Miloni S Vora

Keywords : Primary double teeth,Fusion,Germination,Primary teeth

Citation Information : Agali RJ, Nihal N, Vora MS. Dental twinning in Primary Dentition: A Case report. J South Asian Assoc Pediatr Dent 2018; 1 (1):27-29.

DOI: 10.5005/jp-journals-10077-3008

License: CC BY 3.0

Published Online: 01-01-2019


Abstract

Odontogenic anomalies can occur as a result of conjoining or twinning defects. These include fusion, gemination and concrescence. The process of odontogenesis cannot be seen, therefore fusion and germination seems to be equivalent.  This case report is of a boy aged-5-year who visited private dental clinic with a complaint of decayed upper front teeth. On clinical examination, the patient was diagnosed with ECC (Early childhood caries) and presence of fusion between primary upper left central incisor (61) and a supernumerary tooth.  Radiographic analysis showed presence of a two roots with two root canals and external root resorption. The case was discussed and treatment planning was done to extract the tooth as a result of resorption in the apical region. The purpose of this report is to highlight the importance of diagnosing dental anomalies in the primary dentition, so as to organize a conservative individualized treatment plan to prevent complications during the child’s formative years.


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