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Surgical and orthodontic management of fused maxillary central and lateral incisors in early mixed dentition stage.

Ramamurthy S, Satish R, Priya K - Case Rep Dent (2014)

Bottom Line: Fusion is one of the developmental dental anomalies in which two adjacent teeth are joined at the crown level forming a single tooth with an enlarged crown.The management of fusion often needs multidisciplinary approach to give best possible esthetic and functional outcome.This paper reports a case of 9-year-old boy with fused maxillary left central and lateral incisors who was treated with 2 × 4 fixed orthodontic appliances after surgical separation of fused teeth.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthodontics, Adhiparasakthi Dental College and Hospital, Melmaruvathur, Tamilnadu 603319, India.

ABSTRACT
Fusion is one of the developmental dental anomalies in which two adjacent teeth are joined at the crown level forming a single tooth with an enlarged crown. Fusion causes some clinical problems such as unaesthetic appearance, pain, caries, and malocclusion. The management of fusion often needs multidisciplinary approach to give best possible esthetic and functional outcome. This paper reports a case of 9-year-old boy with fused maxillary left central and lateral incisors who was treated with 2 × 4 fixed orthodontic appliances after surgical separation of fused teeth.

No MeSH data available.


Related in: MedlinePlus

Midtreatment photograph shows correction of fused teeth.
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fig4: Midtreatment photograph shows correction of fused teeth.

Mentions: After a week period, suture was removed and orthodontic treatment with 2 × 4 fixed appliance was begun in maxillary arch. Roth 0.022 slot brackets were bonded on maxillary incisors and preformed molar bands with buccal tube were cemented in 16 and 26. Initially, 0.014 nickel titanium archwire with protective sleeve was used for alignment and leveling (Figure 3), after that progressively archwires were changed to 0.016 nickel titanium and 0.018 stainless steel wire. Maxillary anterior spaces were closed with elastomeric chain in 0.018 stainless steel wire. Fused teeth were aligned at the end of six-month orthodontic treatment (Figure 4). Intraoral periapical radiograph showed improvement in root parallelism of 21 and 22 during fixed appliance treatment (Figure 5).


Surgical and orthodontic management of fused maxillary central and lateral incisors in early mixed dentition stage.

Ramamurthy S, Satish R, Priya K - Case Rep Dent (2014)

Midtreatment photograph shows correction of fused teeth.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4209776&req=5

fig4: Midtreatment photograph shows correction of fused teeth.
Mentions: After a week period, suture was removed and orthodontic treatment with 2 × 4 fixed appliance was begun in maxillary arch. Roth 0.022 slot brackets were bonded on maxillary incisors and preformed molar bands with buccal tube were cemented in 16 and 26. Initially, 0.014 nickel titanium archwire with protective sleeve was used for alignment and leveling (Figure 3), after that progressively archwires were changed to 0.016 nickel titanium and 0.018 stainless steel wire. Maxillary anterior spaces were closed with elastomeric chain in 0.018 stainless steel wire. Fused teeth were aligned at the end of six-month orthodontic treatment (Figure 4). Intraoral periapical radiograph showed improvement in root parallelism of 21 and 22 during fixed appliance treatment (Figure 5).

Bottom Line: Fusion is one of the developmental dental anomalies in which two adjacent teeth are joined at the crown level forming a single tooth with an enlarged crown.The management of fusion often needs multidisciplinary approach to give best possible esthetic and functional outcome.This paper reports a case of 9-year-old boy with fused maxillary left central and lateral incisors who was treated with 2 × 4 fixed orthodontic appliances after surgical separation of fused teeth.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthodontics, Adhiparasakthi Dental College and Hospital, Melmaruvathur, Tamilnadu 603319, India.

ABSTRACT
Fusion is one of the developmental dental anomalies in which two adjacent teeth are joined at the crown level forming a single tooth with an enlarged crown. Fusion causes some clinical problems such as unaesthetic appearance, pain, caries, and malocclusion. The management of fusion often needs multidisciplinary approach to give best possible esthetic and functional outcome. This paper reports a case of 9-year-old boy with fused maxillary left central and lateral incisors who was treated with 2 × 4 fixed orthodontic appliances after surgical separation of fused teeth.

No MeSH data available.


Related in: MedlinePlus