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Sectioning of a double tooth aided by cone-beam computed tomography

  • Case Report
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European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Background

Double teeth present challenges for their clinical management. Recent advances in imaging, particularly cone-beam computed tomography (CBCT), have aided clinicians in accurate diagnosis and management. Data from CBCT imaging can be used for three-dimensional reconstruction to further aid pre-surgical planning.

Case report

A 14-year-old Caucasian male presented with an aesthetically unacceptable double tooth in the 22 region. Clinical and radiographic examination and assessment included CBCT imaging and three-dimensional reconstruction.

Treatment

Based on this information, together with a comprehensive assessment of the patient’s motivation, a treatment plan consisting of extra-alveolar sectioning, re-implantation, endodontic therapy and composite resin restoration was carried out.

Follow-up

The patient failed to return for follow-up at 6 months post-treatment. However, he did return at 12 months, where clinical and radiographic examination was undertaken. At this point the tooth was clinically sound and bony infill was seen radiographically.

Conclusion

The information gained from the pre-surgical imaging with CBCT was useful in planning treatment in this case. However, this had to be combined with a careful assessment of the patient’s motivation to ensure that the course of treatment embarked upon was likely to be successful whilst addressing the patient’s concerns.

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References

  • Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol. 1999;28:245–8.

    Article  PubMed  Google Scholar 

  • Crawford PJM, Aldred MJ. Anomalies of tooth formation and eruption. In: Welbury RR, Duggal MS, Hosey M-T, editors. Paediatric dentistry. 3rd ed. Oxford: OUP; 2005. p. 295–318.

    Google Scholar 

  • Karacay S, Guven G, Koymen R. Management of a fused central incisor in association with a macrodont lateral incisor: a case report. Pediatr Dent. 2006;28:336–40.

    PubMed  Google Scholar 

  • Kayalibay H, Uzamis M, Akalin A. The treatment of a fusion between the maxillary central incisor and supernumerary tooth: report of a case. J Clin Pediatr Dent. 1996;20:237–40.

    PubMed  Google Scholar 

  • Lucey S, Heath N, Welbury RR, Wright G. Case report: cone-beam CT imaging in the management of a double tooth. Eur Arch Paediatr Dent. 2009;10(Suppl 1):49–53.

    Article  PubMed  Google Scholar 

  • Matherne RP, Angelopoulos C, Kulild JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. J Endod. 2008;34:87–9.

    Article  PubMed  Google Scholar 

  • Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J. 2007;40:818–30.

    Article  PubMed  Google Scholar 

  • Shah P, Chander JM, Noar J, Ashley PF. Management of ‘double teeth’ in children and adolescents. Int J Paediatr Dent. 2012;22:419–26.

    Article  PubMed  Google Scholar 

  • Sivolella S, Bressan E, Mirabal V, Stellini E, Berengo M. Extraoral endodontic treatment, odontotomy and intentional replantation of a double maxillary lateral permanent incisor: case report and 6-year follow-up. Int Endod J. 2008;41:538–46.

    Article  PubMed  Google Scholar 

  • Soames JV, Southam JC. Disorders of development of teeth and craniofacial anomalies. In: Soames JV, Southam JC, editors. Oral pathology. 4th ed. Oxford: OUP; 2005. p. 1–18.

    Google Scholar 

  • Tsesis I, Steinbock N, Rosenberg E, Kaufman AY. Endodontic treatment of developmental anomalies in posterior teeth: treatment of geminated/fused teeth—report of two cases. Int Endod J. 2003;36:372–9.

    Article  PubMed  Google Scholar 

  • Tsurumachi T, Kuno T. Endodontic and orthodontic treatment of a cross-bite fused maxillary lateral incisor. Int Endod J. 2003;36:135–42.

    Article  PubMed  Google Scholar 

  • Uÿs H, Morris D. ‘Double’ teeth-a diagnostic conundrum. Dent Update. 2005;32:237–9.

    PubMed  Google Scholar 

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Acknowledgement

Dr David Cross for his assistance with Maxilim.

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Authors and Affiliations

  1. Department of Paediatric Department, Glasgow Dental Hospital and School, 378 Sauchiehall Street, Glasgow, G2 3JZ, Scotland, UK

    W. F. Keys, A. J. Keightley & R. R. Welbury

Authors
  1. W. F. Keys
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  2. A. J. Keightley
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  3. R. R. Welbury
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Corresponding author

Correspondence to A. J. Keightley.

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Keys, W.F., Keightley, A.J. & Welbury, R.R. Sectioning of a double tooth aided by cone-beam computed tomography. Eur Arch Paediatr Dent 14, 167–171 (2013). https://doi.org/10.1007/s40368-013-0031-x

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  • DOI: https://doi.org/10.1007/s40368-013-0031-x

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