The case of an 18-year-old woman with generalized short root
anomaly (SRA) is presented, and the clinical management and
challenges associated with this rare condition are discussed.
The patient was referred for restoration of the edentulous maxillary
left anterior region. Due to the SRA, the patient had previously
received limited orthodontic treatment for the ectopic
maxillary canines. The maxillary left canine failed during orthodontic
traction, the left lateral incisor migrated in its region and
had poor prognosis due to severe mobility. Therefore, it was
extracted and the region was restored with an implant-supported
cantilever metal-ceramic fixed partial denture. Radiographic examination revealed generalized SRA along
with other dental anomalies. From the patient’s family history,
as well as from the physical, clinical, radiographic, biochemical,
and histologic evaluations, we were unable to identify the
etiology behind this unique combination of dental anomalies.
Esthetics and function were successfully restored and a strict
recall system was implemented in order to monitor and maintain
the short-rooted teeth. The need to prevent tooth and
periodontal tissue deterioration in patients with generalized
short roots is emphasized.