Multidisciplinary management of a fused maxillary central incisor moved through the midpalatal suture: A case report.
10.4041/kjod.2017.47.6.384
- Author:
Hakan BULUT
1
;
Aylin PASAOGLU
Author Information
1. Department of Orthodontics, Faculty of Dentistry, Ege University, Izmir, Turkey.
- Publication Type:Case Report
- Keywords:
Fusion;
Macrodontia;
Talon cusp;
Midpalatal suture;
Midline crossing
- MeSH:
Adolescent;
Cone-Beam Computed Tomography;
Crowding;
Dentin;
Humans;
Incisor*;
Male;
Sutures*;
Tooth;
Tooth Crown;
Tooth, Supernumerary
- From:The Korean Journal of Orthodontics
2017;47(6):384-393
- CountryRepublic of Korea
- Language:English
-
Abstract:
Fusion of teeth is a developmental anomaly. It occurs at the stage of tooth formation, which determines the shape and size of the tooth crown, when one or more teeth fuse at the dentin level during the morphodifferentiation of the dental germs. Such teeth show macrodontia and may cause crowding, as well as esthetic and endodontic problems. In this article, we report a rare case of a maxillary central incisor fused to a supernumerary tooth showing labial and palatal talon cusps, which was orthodontically moved across the midpalatal suture. A 13-year-old Caucasian boy sought treatment for the unesthetic appearance of his maxillary central incisor and anterior crowding. He was rehabilitated successfully via a multidisciplinary approach involving orthodontic, nonsurgical endodontic, periodontal, and prosthodontic treatments. After a 26-month treatment period, the patient's macroesthetics and microesthetics were improved. The overall improvement of this macrodontic tooth and its surrounding tissues through multidisciplinary treatment was documented using cone-beam computed tomography.
