Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew


IMPACT FACTOR 2018: 1.221

CiteScore 2018: 1.01

SCImago Journal Rank (SJR) 2018: 0.329
Source Normalized Impact per Paper (SNIP) 2018: 0.479

ICV 2017: 152.94

Open Access
Online
ISSN
2391-5463
See all formats and pricing
More options …
Volume 9, Issue 2

Issues

Volume 10 (2015)

Double teeth: evaluation of 10-years of clinical material

Rafał Koszowski / Jadwiga Waśkowska / Grzegorz Kucharski / Joanna Śmieszek-Wilczewska
Published Online: 2014-02-13 | DOI: https://doi.org/10.2478/s11536-013-0270-6

Abstract

The aim of the study was to evaluate 10-years of clinical material referring to the rare dental abnormality of double teeth. The study material consisted of case records, operation-books and radiographic or photographic documentation on patients treated in the Department of Oral Surgery, Silesian Medical University, Katowice, from the 1st of June 2000 to the 31st of May 2010. The following features were considered important: age and sex, the reason why the patient reported for treatment, general state of health, the time of recognition and type of double teeth, location of double teeth, complaints and disturbances connected with double teeth, types of radiographs, the radiographic and macroscopic appearance of double teeth and treatment method. Diagnoses were as follows: eight conrescent teeth, two fused teeth, two geminated teeth and one invaginated tooth. The anomaly of a deciduous tooth was referred to in one case only. Double teeth were most often seen in the region of maxillary incisors and molars but rarely in the mandible. The region of incisors was affected chiefly in children and the region of molars in adults. Double incisors are usually recognized prior to treatment whereas double molars as late as during their extraction. In many cases, neither intraoral radiographs nor pantomographs help to confirm double teeth or provide sufficient information to plan the treatment. In such a situation, CT or CBCT should be used in addition to imaging diagnostics. Double teeth among incisors are usually accompanied by occlusal disorders. Therefore the therapeutic management is conducted by a team, including orthodontists.

Keywords: Dental abnormality; Double teeth; Geminated teeth; Fused teeth; Dens invaginatus

  • [1] Chaudhry S., Sprawson N., Howe L., Narin R.(1997) Dental twinning. Brit Dent J 182, 185–188 http://dx.doi.org/10.1038/sj.bdj.4809339CrossrefGoogle Scholar

  • [2] Favalli O., Webb M., Culp J. (1998) Bilateral twinning — report of a case. J Dent Child 7–8, 268–271 Google Scholar

  • [3] Killian C., Croll T. (1990) Dental twinning anomalies: the nomenclature enigma. Quintessence Int 21,7, 571–576 PubMedGoogle Scholar

  • [4] Tuna E. B., Yildirim M., Seymen F., Gencay K., Ozgen M. (2009) Fused teeth: A Review of treatment options. J Dent Child 76, 109–116 Google Scholar

  • [5] Dunkan K., Crawford P. (1996) Transposition and fusion in the primary dentition. Report of case. J Dent Child 9–10, 365–367 Google Scholar

  • [6] Olivan-Rosas G., Lopez-Jimenez J., Gimenez-Prats M. J. et al. (2004) Consideration and differences in the treatment of a fused tooth. Med Oral 9, 224–228 Google Scholar

  • [7] Badjate S. J., Cariappa K.M. (2008) Concrescence. Report of a rare complication. NY State Dent J 74,1, 56–57 Google Scholar

  • [8] Schulz M., Reichart P.A., Stich H., Lussi A., Bornstein M.M. (2009) Bilateral malformation of maxillary third molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108, 25–31 http://dx.doi.org/10.1016/j.tripleo.2009.04.017CrossrefGoogle Scholar

  • [9] Haskell T., Krakowiak P., Pirani A. (1997) Non endodontic coronal resection of fused and geminated vital teeth. Oral Surg Oral Med Oral Path 83,4, 501–505 http://dx.doi.org/10.1016/S1079-2104(97)90153-0CrossrefGoogle Scholar

  • [10] Mochizuki K., Yonezu T., Yakushiji M., Mochida Y. (1999) The fusio of Tyree primary incisors: report of case. J Dent Child 11–12,66, 421–425 Google Scholar

  • [11] Nahmias Y., Rampado M. (2002) Root canal treatment of trifid crown premolar. Inter Endod J 35,4, 390–394 http://dx.doi.org/10.1046/j.0143-2885.2001.00507.xCrossrefGoogle Scholar

  • [12] Rajab L.D., Hadman M.A.M. (2002) Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paed Dent 12, 244–254 http://dx.doi.org/10.1046/j.1365-263X.2002.00366.xCrossrefGoogle Scholar

  • [13] Romito L.M. (2004) Concrescence: Report of a rare case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97, 325–327 http://dx.doi.org/10.1016/j.tripleo.2003.10.015CrossrefGoogle Scholar

  • [14] Gunduz K., Sumer M., Sumer A.P., Gunhan O. (2006) Concrescence of a mandibular third molar and a supernumerary fourth molar: Report of a rare case. Br Dent J 200,3, 141–142 http://dx.doi.org/10.1038/sj.bdj.4813191CrossrefGoogle Scholar

  • [15] Gernhorfer K.J. (2009) Concrescence of a maxillary second and third molar. J Calif Dent Assoc 37,7, 479–481 Google Scholar

  • [16] Mader C.L. (1984) Concrescence of the teeth: A potential treatment hazard. Gen Dent 32, 52–55 PubMedGoogle Scholar

  • [17] Gazit E., Liebermann M.A. Macrodontia of maxillary central incisors: case report. Quintessence Int 1991, 22,11, 883–887 PubMedGoogle Scholar

  • [18] Riesenberger R.E., Kilian C.M. (1990) Triplication and twinning in one dental arch: report of a case. Quintessence Int 21,8, 621–623 PubMedGoogle Scholar

  • [19] Brook A.H., Winter G. (1970) Double teeth. Brit Dent J 129, 123–130 http://dx.doi.org/10.1038/sj.bdj.4802533CrossrefGoogle Scholar

  • [20] Hulsmann M. (1997) Dens invaginatus: aetiology, classification, prevalence, diagnosis and treatment considerations. 30, 79 PubMedGoogle Scholar

  • [21] Ikada H., Yoshioka T., Suda H. (1995) Importance of clinical examination and diagnosis. Oral Surg Oral Med Oral Path 79,1, 88 http://dx.doi.org/10.1016/S1079-2104(05)80080-0CrossrefGoogle Scholar

  • [22] Kevin M., Carroll O. (1990) Fusion and germination in alternate dentitions. Oral Surg Oral Med Oral Pathol 69,5, 655– http://dx.doi.org/10.1016/0030-4220(90)90252-NCrossrefGoogle Scholar

  • [23] Tomizawa W., Shimizu A., Hayashi S. et al. (2002) Bilateral maxillary fused primary incisors accompanied by succedaneous supernumerary teeth: report of a case. Int Paediatr Dent 12, 223–227 http://dx.doi.org/10.1046/j.1365-263X.2002.00351.xCrossrefGoogle Scholar

  • [24] Chen H.S., Huang Y.L. (1992) Fusion of third and fourth mandibular molars. Oral Surg Oral Med Oral Pathol 73, 767 http://dx.doi.org/10.1016/0030-4220(92)90027-NCrossrefGoogle Scholar

  • [25] Alvarez I., Creath C. (1995) Radiographic considerations for supernumerary tooth extraction: report of case. J Dent Child 3–4, 141–144 Google Scholar

  • [26] Altug-Atac A.T., Erdem D. (2007) Prevalence and distribution of dental anormalies in orthodontic patients. Am J Orthod Dentofacial Orthop 131, 510–514 http://dx.doi.org/10.1016/j.ajodo.2005.06.027CrossrefGoogle Scholar

  • [27] Peretz B., Brezniak N. (1992) Fusion of primary mandibular teeth: Report of a case. J Dent Child 9–10, 366–368 Google Scholar

  • [28] Beoli R., Moody G. (1991) A primary double molar tooth in a child with Russel-Silver syndrome. Br Dent J 171, 284–286 http://dx.doi.org/10.1038/sj.bdj.4807694CrossrefGoogle Scholar

  • [29] King N., Sanares A. (2002) Oral-facial-digital syndrome, type I: a case report. J Clin Pediatr Dent 26, 211–215 PubMedGoogle Scholar

  • [30] Topper D., Zallen R., Kluender R. (1990) A dental and facial anomaly not previously reported with VECTERL association: report of case. J Dent Child 5–6, 216–219 Google Scholar

  • [31] Chen H.S., Huang Y.L. (1990) Fusion of third molar with an invaginated supernumerary molar. Oral Surg Oral Med Oral Pathol 70,4,526–527 http://dx.doi.org/10.1016/0030-4220(90)90224-GCrossrefGoogle Scholar

  • [32] Tasa G., Lucacs J. (2001) The prevalence and expression of primary double teeth in western India. J Dent Child 68,3, 196–200 Google Scholar

  • [33] Nunes E., Moraes I., Novaes P., Sousa S. (2002) Bilateral fusion of mandibular second molars with supernumerary teeth: case a report. Braz Dent J 13,2, 137–141 http://dx.doi.org/10.1590/S0103-64402002000200012CrossrefGoogle Scholar

  • [34] Aquilo L., Gandia J., Cibrian M., Catala M. (1999) Primary double teeth. A retrospective clinical study of their morphological characteristics and associated anomalies. Int J Ped Dent 9, 175–183 http://dx.doi.org/10.1046/j.1365-263x.1999.00131.xCrossrefGoogle Scholar

  • [35] Yanikolu F., Karta N. Endodontic treatment of a fused maxillary lateral incisor. J Endod 1998, 24,1, 57–59 http://dx.doi.org/10.1016/S0099-2399(98)80217-3CrossrefGoogle Scholar

  • [36] Cimilli H., Kartal N. (2002) Endodontic treatment of unusual central incisors. J Endod 28,6,480–481 http://dx.doi.org/10.1097/00004770-200206000-00017CrossrefGoogle Scholar

  • [37] Erdem G., Uzami M., Olmer S., Sargon M. (2001) Primary incisors triplication defekt. J Dent Child 301,9–10, 322–325 Google Scholar

  • [38] Hattab F., Hazzaa A. (2001) An unusual case of talon cusp on geminated tooth. J Can Dent Assoc 67,5,263–266 PubMedGoogle Scholar

  • [39] Valesco L., Arauja F., Perreira E. (1997) Esthetic and functional treatment of a fused permanent tooth: a case report. Quintessence Int 28,10, 677–680 Google Scholar

  • [40] Law L., Fishelberg G., Skribner J., Lin L. (1994) Endodothic treatment of mandibular molars with concrescence. J Endod 20,11, 262–264 http://dx.doi.org/10.1016/S0099-2399(06)80075-0CrossrefGoogle Scholar

  • [41] Lyroudia K., Mikrogeorgis G., Nicopoulos N., Sanrakovitis G., Molyvdas I., Pitas I. (1997) Computerized 3-D reconstruction of two double teeth. Endodont Dent Traumat 10,13,218–222 http://dx.doi.org/10.1111/j.1600-9657.1997.tb00043.xCrossrefGoogle Scholar

  • [42] Reddy Y.P., Karpagavinayagam K., Subbarao C.V. (2008) Management of dens invaginatus diagnosed by spiral computed tomography: a case report. J Endod 34,9, 1138–1142 http://dx.doi.org/10.1016/j.joen.2008.06.001CrossrefGoogle Scholar

About the article

Published Online: 2014-02-13

Published in Print: 2014-04-01


Citation Information: Open Medicine, Volume 9, Issue 2, Pages 254–263, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-013-0270-6.

Export Citation

© 2014 Versita Warsaw. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

[1]
P. Dąbrowski, D. Nowakowski, A. Gawlikowska-Sroka, I. Maciuszczak, and S. Gronkiewicz
International Journal of Paleopathology, 2017

Comments (0)

Please log in or register to comment.
Log in