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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

May 2007
Volume 38 , Issue 5

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Bilateral triplicated primary central incisors: Clinical course and therapy

Nelly Schulz-Weidner, DDS / Franziska Ansari, DDS / Viola Mueller-Lessmann, DDS / Willi-Eckhard Wetzel, DDS, PhD

Pages: 395399
PMID: 17568838

Uncommon developmental abnormalities such as fused or geminated teeth are of interest for the clinical problems associated with them. A rare case of fusion between maxillary primary central and lateral incisors and a supplemental incisor occurring bilaterally is presented. The patient was a 4-year-old Thai boy. Intraoral examination revealed an abscess and fistula in the region of the fused teeth as a result of periapical osteolysis. Access cavities were prepared as acute procedures. Because of the unpromising prognosis, surgical removal of the teeth was inevitable. For functional, esthetic, and phonetic rehabilitation, an acrylic denture was incorporated. (Quintessence Int 2007;38:395399)

Key words: denture, fused tooth, periapical lesions, phonetic rehabilitation, tooth complex anatomy, triplicated teeth

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