Management of a Rare Case of Geminated and Fused Central Incisors in the Same Maxillary Dental Arch

A 27-year-old man presented with developmental disorders in the maxillary incisors and asymmetric smile. Differential diagnosis between geminated and fused maxillary central incisors was conducted using cone-beam computed tomography (CBCT). The complexities of root canal system was handled using sui...

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Bibliographic Details
Published inCase reports in dentistry Vol. 2021; pp. 5566827 - 4
Main Authors Alyahya, Anas, Karkoutly, Humam, Milly, Hussam
Format Journal Article
LanguageEnglish
Published Egypt Hindawi 2021
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Case Report
Case reports
Computed tomography
Dentistry
Developmental disabilities
Differential diagnosis
Endodontics
Incisors
Informed consent
Maxilla
Morphology
Root canal therapy
Root canals
Success
Teeth
Zirconia
United States > US
South Korea
Germany
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Summary:A 27-year-old man presented with developmental disorders in the maxillary incisors and asymmetric smile. Differential diagnosis between geminated and fused maxillary central incisors was conducted using cone-beam computed tomography (CBCT). The complexities of root canal system was handled using suitable shaping instruments and ultrasonic activation tips. Root apexes were sealed with mineral trioxide aggregate plugs. The anterior maxillary gingiva was surgically recontoured, and CAD/CAM Zirconia crowns were placed after the gingival healing phase. The combination of the 3D radiological examination, the clinical screening, and the use of a diagnostic wax-up presented a successful approach to manage this rare clinical case.
Bibliography:Academic Editor: Andrea Scribante
ISSN:2090-6447
2090-6455
DOI:10.1155/2021/5566827