Management of a Rare Case of Geminated and Fused Central Incisors in the Same Maxillary Dental Arch

A 27-year-old man presented with developmental disorders in the maxillary incisors and asymmetric smile. Differential diagnosis between geminated and fused maxillary central incisors was conducted using cone-beam computed tomography (CBCT). The complexities of root canal system was handled using sui...

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Main Authors: Anas Alyahya, Humam Karkoutly, Hussam Milly
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2021/5566827
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author Anas Alyahya
Humam Karkoutly
Hussam Milly
author_facet Anas Alyahya
Humam Karkoutly
Hussam Milly
author_sort Anas Alyahya
collection DOAJ
description A 27-year-old man presented with developmental disorders in the maxillary incisors and asymmetric smile. Differential diagnosis between geminated and fused maxillary central incisors was conducted using cone-beam computed tomography (CBCT). The complexities of root canal system was handled using suitable shaping instruments and ultrasonic activation tips. Root apexes were sealed with mineral trioxide aggregate plugs. The anterior maxillary gingiva was surgically recontoured, and CAD/CAM Zirconia crowns were placed after the gingival healing phase. The combination of the 3D radiological examination, the clinical screening, and the use of a diagnostic wax-up presented a successful approach to manage this rare clinical case.
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institution Kabale University
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language English
publishDate 2021-01-01
publisher Wiley
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series Case Reports in Dentistry
spelling doaj-art-080fc56cba1b48e785fd4b8b18209ddf2025-02-03T06:46:10ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/55668275566827Management of a Rare Case of Geminated and Fused Central Incisors in the Same Maxillary Dental ArchAnas Alyahya0Humam Karkoutly1Hussam Milly2Department of Conservative Dentistry and Endodontics, Dental Institute, Damascus University, Damascus, SyriaDepartment of Conservative Dentistry and Endodontics, Dental Institute, Damascus University, Damascus, SyriaDepartment of Conservative Dentistry and Endodontics, Dental Institute, Damascus University, Damascus, SyriaA 27-year-old man presented with developmental disorders in the maxillary incisors and asymmetric smile. Differential diagnosis between geminated and fused maxillary central incisors was conducted using cone-beam computed tomography (CBCT). The complexities of root canal system was handled using suitable shaping instruments and ultrasonic activation tips. Root apexes were sealed with mineral trioxide aggregate plugs. The anterior maxillary gingiva was surgically recontoured, and CAD/CAM Zirconia crowns were placed after the gingival healing phase. The combination of the 3D radiological examination, the clinical screening, and the use of a diagnostic wax-up presented a successful approach to manage this rare clinical case.http://dx.doi.org/10.1155/2021/5566827
spellingShingle Anas Alyahya
Humam Karkoutly
Hussam Milly
Management of a Rare Case of Geminated and Fused Central Incisors in the Same Maxillary Dental Arch
Case Reports in Dentistry
title Management of a Rare Case of Geminated and Fused Central Incisors in the Same Maxillary Dental Arch
title_full Management of a Rare Case of Geminated and Fused Central Incisors in the Same Maxillary Dental Arch
title_fullStr Management of a Rare Case of Geminated and Fused Central Incisors in the Same Maxillary Dental Arch
title_full_unstemmed Management of a Rare Case of Geminated and Fused Central Incisors in the Same Maxillary Dental Arch
title_short Management of a Rare Case of Geminated and Fused Central Incisors in the Same Maxillary Dental Arch
title_sort management of a rare case of geminated and fused central incisors in the same maxillary dental arch
url http://dx.doi.org/10.1155/2021/5566827
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AT hussammilly managementofararecaseofgeminatedandfusedcentralincisorsinthesamemaxillarydentalarch