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Hemisection of a fused tooth.

Abstract
Fusion is a developmental anomaly which occurs due to a union of 1 or more adjacent teeth during morphodifferentiation of the dental germs. The present case report presents the hemisection of a maxillary central incisor fused with a supernumerary tooth. A 10-year-old boy was referred to clinic with the chief complaint of the presence of a large anterior tooth. Intraoral and radiographic investigations indicated fusion between the left central incisor and a supernumerary tooth. The fused tooth was separated with a diamond bur, and the supernumerary tooth was extracted. The left central incisor was restored with composite resin and the diastema between the maxillary central incisors was closed with orthodontic treatment. The left central incisor was still healthy after a follow-up examination period of 24 months. An ideal overjet and overbite relation was achieved at the end of the orthodontic treatment. Hemisection can be considered as an appropriate treatment alternative for a permanent tooth fused with a supernumerary tooth.
AuthorsTugba Cetinbas, Suleyman Halil, Mehmet Okan Akcam, Saziye Sari, Serap Cetiner
JournalOral surgery, oral medicine, oral pathology, oral radiology, and endodontics (Oral Surg Oral Med Oral Pathol Oral Radiol Endod) Vol. 104 Issue 4 Pg. e120-4 (Oct 2007) ISSN: 1528-395X [Electronic] United States
PMID17656128 (Publication Type: Case Reports, Journal Article)
Topics
  • Child
  • Fused Teeth (surgery)
  • Humans
  • Incisor (abnormalities, surgery)
  • Male
  • Maxilla
  • Orthodontic Space Closure
  • Tooth Extraction
  • Tooth, Supernumerary (surgery)

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