Exploring Dental Fusion in Primary Dentition: A Pediatric Dental Perspective.

Developmental anomalies of dentition includes abnormalities in teeth size, shape, structure, and number. Dental fusion is one such condition and is one of the most important and frequent developmental dental anomalies that can affect children's oral health. This condition can present various clinical challenges, including aesthetic concerns, occlusal disturbances, and potential impacts on the development and eruption of permanent teeth. The etiology of dental fusion is multifactorial, involving genetic, environmental, and possibly mechanical factors during tooth development. Diagnosis is done based on clinical examination and radiographic imaging to differentiate fusion from other similar anomalies such as gemination and concrescence. The present case report describes dental fusion in primary teeth seen in two young pediatric patients. These case reports aim to provide an overview of the prevalence, diagnosis, and management strategies for fusion in primary teeth, emphasizing the importance of a Pediatric Dentist in optimizing outcomes for affected children.

Fusión del tercer molar inferior con un cuarto molar: reporte de tres casos / Fusion of the lower third molar with a fourth molar: report of three cases

Los dientes supernumerarios y la fusión dental son anomalías del desarrollo dental cuyas causas aún no se han dilucidado con certeza. El cuarto molar inferior, también denominado distomolar, es uno de los dientes supernumerarios con menor frecuencia de aparición clínica y su fusión con el tercer molar es una condición todavía menos común. A continuación, se reportan los casos clínicos de tres pacientes masculinos que presentaron fusión del tercer molar inferior derecho con un distomolar tratados mediante odontectomía (AU)

Supernumerary teeth and dental fusion are abnormalities of dental development whose causes have not yet been elucidated with certainty. The lower fourth molar, also called distomolar, is one of the supernumerary teeth with the least frequency of clinical appearance and its fusion with the third molar is an even less common condition. Next, the clinical cases of three male patients who presented fusion of the right lower third molar with a distomolar treated by odontectomy are reported (AU)

Multidisciplinary management of a fused maxillary incisor: Case report with 5-year follow-up.

Detailed treatment planning and execution are crucial if regenerative approaches are to be attempted to retain fused permanent teeth. Long-term follow-up is necessary to monitor the stability of the final outcome, both esthetically and functionally.

Rehabilitación de dientes anteriores deciduos supernumerarios y fusionados. reporte de caso / Rehabilitation of deciduous anterior supernumerary and fused teeth. case report

Los dientes supernumerarios son definidos como cualquier diente adicional a la serie normal, son poco frecuentes en la dentición decidua; sin embargo, son considerados como una de las anomalías más significantes, más aún si se encuentran fusionados. La fusión dental es una anomalía que consiste en la unión de uno o más gérmenes dentarios adyacentes. Launión se da por medio del esmalte y la dentina dando como resultado un diente único. Se reporta el caso de una niña de 5años de edad que acude a la Clínica de Odontopediatría de la Universidad Científica del Sur con problemas de autoestimay bullying de sus pares a causa de su pobre condición y apariencia dental. Al examen clínico extra oral se observa que laniña muestra sonrisa de labio cerrado. Al examen clínico intra oral se observan múltiples caries y en la zona anterosuperior lesiones de caries activas con compromiso pulpar y zonas de lesiones detenidas de color obscuro y un diente supernumerario fusionado a pieza 51. Se realiza el tratamiento de pulpectomías en pieza 51 y supernumerario fusionado en unasesión y se procede a la rehabilitación estética mejorando la autoestima de la paciente después del tratamiento.

Supernumerary teeth are defined as any additional tooth to the normal series. They are rare in deciduous dentition; however, they are considered one of the most significant anomalies, even more if they are fused. Dental fusion is an anomalycaused by the union of one or more adjacent tooth germs. Joint occurs through the enamel and dentin resulting in asingle tooth. We report the case of a five years old girl who arrived to the Pediatric Dentistry Clinic of Universidad Cientí-fica del Sur with self-steem problems and bullying among friends because of her poor condition and dental appearance. Extra-oral clinical examination showed that the girl presented smile closed lip. By the other side, the intraoral clinical examination pointed out multiple cavities, inactive carious lesions at anterior upper teeth with evident pulpar lesion andareas of inactive lesions of dark color and a supernumerary tooth fused with 51 tooth. Pulpectomies in 51 tooth and supernumerary fused were done. Then, the aesthetic rehabilitation was completed improving the patient’s self-esteem.

A talon cusp on fused teeth associated with hypodontia: report of a unique case.

Fusion and talon cusps are rare developmental dental anomalies affecting both primary and permanent dentitions. Talon cusps normally occur on the palatal surface of permanent maxillary incisors, while fused teeth are more common in the primary anterior dentition. An understanding of these dental anomalies and their associated problems are important to provide prophylactic measures, thereby preventing or minimizing possible complications. This paper presents a unique case of fused mandibular permanent incisors with a lingual talon cusp associated with hypodontia of an adjacent tooth.