关键词: Case report Concrescence Deciduous Dental anomaly Fusion Primary incisors

来  源:   DOI:10.5005/jp-journals-10005-2694   PDF(Pubmed)

Abstract:
UNASSIGNED: The aim of this paper is to report a rare case in a 6-year-old girl where two dental anomalies, fusion and concrescence, coexisted in primary dentition. This highlights the significance of the accurate early diagnosis of these dental anomalies.
UNASSIGNED: Odontogenic anomalies are frequently encountered in dental practice. These anomalies can occur due to abnormalities during the differentiation stage and may lead to aberrations in hard tissue formation. Some of the uncommon and unusual dental anomalies of number and form include fusion, gemination, and concrescence.
UNASSIGNED: This elusive case represents the fusion and concrescence together between the left central and a supernumerary tooth. The left primary central incisor presens as a large tooth with a groove through the incisal edge. Clinical observation along with radiographic evaluation using RVG radiographs and orthopantomogram (OPG) were used to arrive at a diagnosis.
UNASSIGNED: Early diagnosis of concrescence will reduce the risk of possible complications associated with any need for extraction later on. Monitoring the patient and long-term follow-up are required to manage the case with coexisting anomalies of true fusion and acquired concrescence.
UNASSIGNED: A thorough history-taking and clinical and radiographic evaluation of fusion and concrescence at an early stage results in an accurate diagnosis. A careful monitoring plan is a key to reduce the risk of possible complications later on.
UNASSIGNED: Ahuja V, Pathak A. Fluke of Fusion and Concrescence in Maxillary Deciduous Incisors: A Case Report. Int J Clin Pediatr Dent 2023;16(S-3):S327-S330.
摘要:
本文的目的是报告一个6岁女孩的罕见病例,其中两个牙齿异常,融合和融合,在原牙列中共存。这突出了准确早期诊断这些牙齿异常的重要性。
牙源性异常在牙科实践中经常遇到。这些异常可能是由于分化阶段的异常而发生的,并且可能导致硬组织形成的像差。一些罕见和不寻常的数量和形式的牙齿异常包括融合,双生,和和解。
这种难以捉摸的情况代表了左中央和多余牙齿之间的融合和凹陷。左主中切牙呈大齿,切缘有凹槽。使用临床观察以及使用RVGX光片和正像图(OPG)的影像学评估来进行诊断。
早期诊断将降低与以后任何需要提取相关的可能并发症的风险。需要对患者进行监测和长期随访,以处理真实融合和获得性融合并存异常的病例。
在早期阶段对融合和愈合进行全面的病史记录以及临床和影像学评估可导致准确的诊断。仔细的监测计划是降低以后可能出现并发症风险的关键。
AhujaV,PathakA.上颌乳牙的融合和愈合吸虫:一例病例报告。IntJClinPediatrDent2023;16(S-3):S327-S330。
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