Double teeth: evaluation of 10-years of clinical material

• Authors: Rafał Koszowski , Jadwiga Waśkowska , Grzegorz Kucharski , Joanna Śmieszek-Wilczewska
• Languages of publication: EN

Abstracts

EN

The aim of the study was to evaluate 10-years of clinical material referring to the rare dental abnormality of double teeth. The study material consisted of case records, operation-books and radiographic or photographic documentation on patients treated in the Department of Oral Surgery, Silesian Medical University, Katowice, from the 1st of June 2000 to the 31st of May 2010. The following features were considered important: age and sex, the reason why the patient reported for treatment, general state of health, the time of recognition and type of double teeth, location of double teeth, complaints and disturbances connected with double teeth, types of radiographs, the radiographic and macroscopic appearance of double teeth and treatment method. Diagnoses were as follows: eight conrescent teeth, two fused teeth, two geminated teeth and one invaginated tooth. The anomaly of a deciduous tooth was referred to in one case only. Double teeth were most often seen in the region of maxillary incisors and molars but rarely in the mandible. The region of incisors was affected chiefly in children and the region of molars in adults. Double incisors are usually recognized prior to treatment whereas double molars as late as during their extraction. In many cases, neither intraoral radiographs nor pantomographs help to confirm double teeth or provide sufficient information to plan the treatment. In such a situation, CT or CBCT should be used in addition to imaging diagnostics. Double teeth among incisors are usually accompanied by occlusal disorders. Therefore the therapeutic management is conducted by a team, including orthodontists.

Keywords

EN

Dental abnormality; Double teeth; Geminated teeth; Fused teeth; Dens invaginatus

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 9
• Issue: 2
• Pages: 254-263

Dates

published

1 - 4 - 2014

online

13 - 2 - 2014

Contributors

author

Rafał Koszowski

• Department of Oral Surgery in Bytom, Silesian Medical Academy, Pl. Akademicki 17, 41-902, Bytom, Poland

author

Jadwiga Waśkowska

• Department of Oral Surgery in Bytom, Silesian Medical Academy, Pl. Akademicki 17, 41-902, Bytom, Poland

author

Grzegorz Kucharski

• Department of Oral Surgery in Bytom, Silesian Medical Academy, Pl. Akademicki 17, 41-902, Bytom, Poland

author

Joanna Śmieszek-Wilczewska

• Department of Oral Surgery in Bytom, Silesian Medical Academy, Pl. Akademicki 17, 41-902, Bytom, Poland

References

• [1] Chaudhry S., Sprawson N., Howe L., Narin R.(1997) Dental twinning. Brit Dent J 182, 185–188 http://dx.doi.org/10.1038/sj.bdj.4809339[Crossref]
• [2] Favalli O., Webb M., Culp J. (1998) Bilateral twinning - report of a case. J Dent Child 7–8, 268–271
• [3] Killian C., Croll T. (1990) Dental twinning anomalies: the nomenclature enigma. Quintessence Int 21,7, 571–576 [PubMed]
• [4] Tuna E. B., Yildirim M., Seymen F., Gencay K., Ozgen M. (2009) Fused teeth: A Review of treatment options. J Dent Child 76, 109–116
• [5] Dunkan K., Crawford P. (1996) Transposition and fusion in the primary dentition. Report of case. J Dent Child 9–10, 365–367
• [6] Olivan-Rosas G., Lopez-Jimenez J., Gimenez-Prats M. J. et al. (2004) Consideration and differences in the treatment of a fused tooth. Med Oral 9, 224–228
• [7] Badjate S. J., Cariappa K.M. (2008) Concrescence. Report of a rare complication. NY State Dent J 74,1, 56–57
• [8] Schulz M., Reichart P.A., Stich H., Lussi A., Bornstein M.M. (2009) Bilateral malformation of maxillary third molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108, 25–31 http://dx.doi.org/10.1016/j.tripleo.2009.04.017[Crossref]
• [9] Haskell T., Krakowiak P., Pirani A. (1997) Non endodontic coronal resection of fused and geminated vital teeth. Oral Surg Oral Med Oral Path 83,4, 501–505 http://dx.doi.org/10.1016/S1079-2104(97)90153-0[Crossref]
• [10] Mochizuki K., Yonezu T., Yakushiji M., Mochida Y. (1999) The fusio of Tyree primary incisors: report of case. J Dent Child 11–12,66, 421–425
• [11] Nahmias Y., Rampado M. (2002) Root canal treatment of trifid crown premolar. Inter Endod J 35,4, 390–394 http://dx.doi.org/10.1046/j.0143-2885.2001.00507.x[Crossref]
• [12] Rajab L.D., Hadman M.A.M. (2002) Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paed Dent 12, 244–254 http://dx.doi.org/10.1046/j.1365-263X.2002.00366.x[Crossref]
• [13] Romito L.M. (2004) Concrescence: Report of a rare case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97, 325–327 http://dx.doi.org/10.1016/j.tripleo.2003.10.015[Crossref]
• [14] Gunduz K., Sumer M., Sumer A.P., Gunhan O. (2006) Concrescence of a mandibular third molar and a supernumerary fourth molar: Report of a rare case. Br Dent J 200,3, 141–142 http://dx.doi.org/10.1038/sj.bdj.4813191[Crossref]
• [15] Gernhorfer K.J. (2009) Concrescence of a maxillary second and third molar. J Calif Dent Assoc 37,7, 479–481
• [16] Mader C.L. (1984) Concrescence of the teeth: A potential treatment hazard. Gen Dent 32, 52–55 [PubMed]
• [17] Gazit E., Liebermann M.A. Macrodontia of maxillary central incisors: case report. Quintessence Int 1991, 22,11, 883–887 [PubMed]
• [18] Riesenberger R.E., Kilian C.M. (1990) Triplication and twinning in one dental arch: report of a case. Quintessence Int 21,8, 621–623 [PubMed]
• [19] Brook A.H., Winter G. (1970) Double teeth. Brit Dent J 129, 123–130 http://dx.doi.org/10.1038/sj.bdj.4802533[Crossref]
• [20] Hulsmann M. (1997) Dens invaginatus: aetiology, classification, prevalence, diagnosis and treatment considerations. 30, 79 [PubMed]
• [21] Ikada H., Yoshioka T., Suda H. (1995) Importance of clinical examination and diagnosis. Oral Surg Oral Med Oral Path 79,1, 88 http://dx.doi.org/10.1016/S1079-2104(05)80080-0[Crossref]
• [22] Kevin M., Carroll O. (1990) Fusion and germination in alternate dentitions. Oral Surg Oral Med Oral Pathol 69,5, 655– http://dx.doi.org/10.1016/0030-4220(90)90252-N[Crossref]
• [23] Tomizawa W., Shimizu A., Hayashi S. et al. (2002) Bilateral maxillary fused primary incisors accompanied by succedaneous supernumerary teeth: report of a case. Int Paediatr Dent 12, 223–227 http://dx.doi.org/10.1046/j.1365-263X.2002.00351.x[Crossref]
• [24] Chen H.S., Huang Y.L. (1992) Fusion of third and fourth mandibular molars. Oral Surg Oral Med Oral Pathol 73, 767 http://dx.doi.org/10.1016/0030-4220(92)90027-N[Crossref]
• [25] Alvarez I., Creath C. (1995) Radiographic considerations for supernumerary tooth extraction: report of case. J Dent Child 3–4, 141–144
• [26] Altug-Atac A.T., Erdem D. (2007) Prevalence and distribution of dental anormalies in orthodontic patients. Am J Orthod Dentofacial Orthop 131, 510–514 http://dx.doi.org/10.1016/j.ajodo.2005.06.027[Crossref]
• [27] Peretz B., Brezniak N. (1992) Fusion of primary mandibular teeth: Report of a case. J Dent Child 9–10, 366–368
• [28] Beoli R., Moody G. (1991) A primary double molar tooth in a child with Russel-Silver syndrome. Br Dent J 171, 284–286 http://dx.doi.org/10.1038/sj.bdj.4807694[Crossref]
• [29] King N., Sanares A. (2002) Oral-facial-digital syndrome, type I: a case report. J Clin Pediatr Dent 26, 211–215 [PubMed]
• [30] Topper D., Zallen R., Kluender R. (1990) A dental and facial anomaly not previously reported with VECTERL association: report of case. J Dent Child 5–6, 216–219
• [31] Chen H.S., Huang Y.L. (1990) Fusion of third molar with an invaginated supernumerary molar. Oral Surg Oral Med Oral Pathol 70,4,526–527 http://dx.doi.org/10.1016/0030-4220(90)90224-G[Crossref]
• [32] Tasa G., Lucacs J. (2001) The prevalence and expression of primary double teeth in western India. J Dent Child 68,3, 196–200
• [33] Nunes E., Moraes I., Novaes P., Sousa S. (2002) Bilateral fusion of mandibular second molars with supernumerary teeth: case a report. Braz Dent J 13,2, 137–141 http://dx.doi.org/10.1590/S0103-64402002000200012[Crossref]
• [34] Aquilo L., Gandia J., Cibrian M., Catala M. (1999) Primary double teeth. A retrospective clinical study of their morphological characteristics and associated anomalies. Int J Ped Dent 9, 175–183 http://dx.doi.org/10.1046/j.1365-263x.1999.00131.x[Crossref]
• [35] Yanikolu F., Karta N. Endodontic treatment of a fused maxillary lateral incisor. J Endod 1998, 24,1, 57–59 http://dx.doi.org/10.1016/S0099-2399(98)80217-3[Crossref]
• [36] Cimilli H., Kartal N. (2002) Endodontic treatment of unusual central incisors. J Endod 28,6,480–481 http://dx.doi.org/10.1097/00004770-200206000-00017[Crossref]
• [37] Erdem G., Uzami M., Olmer S., Sargon M. (2001) Primary incisors triplication defekt. J Dent Child 301,9–10, 322–325
• [38] Hattab F., Hazzaa A. (2001) An unusual case of talon cusp on geminated tooth. J Can Dent Assoc 67,5,263–266 [PubMed]
• [39] Valesco L., Arauja F., Perreira E. (1997) Esthetic and functional treatment of a fused permanent tooth: a case report. Quintessence Int 28,10, 677–680
• [40] Law L., Fishelberg G., Skribner J., Lin L. (1994) Endodothic treatment of mandibular molars with concrescence. J Endod 20,11, 262–264 http://dx.doi.org/10.1016/S0099-2399(06)80075-0[Crossref]
• [41] Lyroudia K., Mikrogeorgis G., Nicopoulos N., Sanrakovitis G., Molyvdas I., Pitas I. (1997) Computerized 3-D reconstruction of two double teeth. Endodont Dent Traumat 10,13,218–222 http://dx.doi.org/10.1111/j.1600-9657.1997.tb00043.x[Crossref]
• [42] Reddy Y.P., Karpagavinayagam K., Subbarao C.V. (2008) Management of dens invaginatus diagnosed by spiral computed tomography: a case report. J Endod 34,9, 1138–1142 http://dx.doi.org/10.1016/j.joen.2008.06.001[Crossref]

Identifiers

DOI

10.2478/s11536-013-0270-6