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Eur J Paediatr Dent. 2017 Jun;18(2):94-98. doi: 10.23804/ejpd.2017.18.02.02.

Multidisciplinary approach to the treatment of double bilateral upper permanent incisors in a young boy.

Author information

1
Department of Neuroscience, Reproductive Science and Oral Science, Section of Paediatric Dentistry, University of Naples "Federico II", Naples, Italy.
2
Section of Orthodontics Dentistry Unit, Department of Paediatric Surgery Bambino Gesù Children´s Hospital, IRCCS, Rome, Italy.
3
Section of Paediatric Dentistry Dentistry Unit, Department of Pediatric Surgery Bambino Gesù Children´s Hospital, IRCCS, Rome, Italy.
4
Section of Orthodontics Dentistry Unit, Department of Pediatric Surgery, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
5
Chair Professor, Section of Paediatric Dentistry, Department of Neuroscience, Reproductive Science and Oral Science, University of Naples "Federico II", Naples, Italy.
6
Chair Professor, Section of Orthodontics, Department of Neuroscience, Reproductive Science and Oral Science, University of Naples "Federico II", Naples, Italy.

Abstract

BACKGROUND:

A double tooth is a rare developmental anomaly referring to the fusion of two adjacent tooth buds or the gemination of a single bud.

CASE REPORT:

This case report describes the multidisciplinary approach to an 11-year-old patient with two double upper permanent incisors. The clinical intraoral examination showed a mixed dentition with bilateral double maxillary central incisors, molar Class I malocclusion and palatal ectopy of two lateral upper incisors. Computed tomography of the upper dental arch revealed the presence of double central incisors with two distinct roots. The clinical choice consisted of an innovative treatment including surgical, endodontic, orthodontic and restorative treatments. This management protocol produced good aesthetic, healthy and functional results that were stable also two years post-treatment.

PMID:
28598178
DOI:
10.23804/ejpd.2017.18.02.02
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