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Sobouti F, Ghadirian H, Dadgar S, Aryana M, Kamali E. Radiographic assessment and management of two deeply and horizontally impacted maxillary central incisors: A clinical case report. Radiol Case Rep 2024; 19:3089-3095. [PMID: 38770383 PMCID: PMC11103363 DOI: 10.1016/j.radcr.2024.04.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 04/06/2024] [Accepted: 04/09/2024] [Indexed: 05/22/2024] Open
Abstract
This case report describes the treatment of a 9-year-old boy with impacted maxillary central incisors due to 2 supernumerary teeth. A sequential approach comprising of surgical removal of the supernumerary teeth and 2 stages of surgical exposure and orthodontic traction of the impacted teeth resulted in correct repositioning of incisors. Close monitoring and multidisciplinary cooperation during various stages of treatment led to a successful esthetic outcome, with optimal periodontal health and functional occlusion.
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Affiliation(s)
- Farhad Sobouti
- Department of Orthodontics, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | - Hannaneh Ghadirian
- Department of Orthodontics, Tehran University of Medical Sciences, Tehran, Iran
| | - Sepideh Dadgar
- Department of Orthodontics, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mehdi Aryana
- Student Research Committee, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
| | - Elaheh Kamali
- Department of Orthodontics, Tehran University of Medical Sciences, Tehran, Iran
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Akitomo T, Ogawa M, Kaneki A, Nishimura T, Usuda M, Kametani M, Kusaka S, Asao Y, Iwamoto Y, Tachikake M, Mitsuhata C, Nomura R. Dental Abnormalities in Pediatric Patients Receiving Chemotherapy. J Clin Med 2024; 13:2877. [PMID: 38792419 PMCID: PMC11122590 DOI: 10.3390/jcm13102877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Revised: 05/08/2024] [Accepted: 05/10/2024] [Indexed: 05/26/2024] Open
Abstract
Background: Chemotherapy is a common treatment for pediatric cancer. Although life prognosis is improving because of advances in medical science, it is important to deal with late effects such as dental abnormalities. We investigated the association between dental abnormalities and chemotherapy by age and tooth type. Methods: Among the 568 patients referred to the pediatric dentistry department of our hospital, we selected 32 patients (21 male and 11 female) who received chemotherapy between the ages of 0 and 6 and underwent panoramic examination after the age of 7. We recorded the age of chemotherapy commencement, diagnosis of systemic disease, and dental abnormalities such as congenital absence, microdonts, and short-rooted teeth. Results: Almost half of the patients had dental abnormalities such as congenital absence, microdonts, and short-rooted teeth, but there were no significant differences in the incidence of these abnormalities by age. When we analyzed the incidence of abnormal teeth by tooth type, the incidence of congenital absence was significantly higher in premolars (5.5%) and second molars (3.9%) than in incisor or canine or 1st molar (0.4%) (p < 0.01). The incidence of microdonts was significantly higher in premolars (3.9%) than in incisor or canine or 1st molar (0.2%) and second molars (0.0%) (p < 0.05). Conclusions: Patients who received chemotherapy had a high prevalence of dental abnormalities, and the incidence of abnormalities varied by tooth type. It is important to maintain long-term oral care for patients who have undergone chemotherapy even after the treatment is completed.
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Affiliation(s)
- Tatsuya Akitomo
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Masashi Ogawa
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Ami Kaneki
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Taku Nishimura
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Momoko Usuda
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Mariko Kametani
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Satoru Kusaka
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Yuria Asao
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Yuko Iwamoto
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Meiko Tachikake
- Department of Pediatric Dentistry, Hiroshima University Hospital, Hiroshima 734-8551, Japan;
| | - Chieko Mitsuhata
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
| | - Ryota Nomura
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan; (M.O.); (A.K.); (T.N.); (M.U.); (M.K.); (S.K.); (Y.A.); (Y.I.); (C.M.); (R.N.)
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Akitomo T, Kusaka S, Usuda M, Kametani M, Kaneki A, Nishimura T, Ogawa M, Mitsuhata C, Nomura R. Fusion of a Tooth with a Supernumerary Tooth: A Case Report and Literature Review of 35 Cases. CHILDREN (BASEL, SWITZERLAND) 2023; 11:6. [PMID: 38275427 PMCID: PMC10814903 DOI: 10.3390/children11010006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 12/12/2023] [Accepted: 12/17/2023] [Indexed: 01/27/2024]
Abstract
Tooth fusion is a dental anomaly with a prevalence of 0.1% in permanent dentition. The aim of this paper is to present the occurrence, region of fusion, and prognosis of fused tooth which is a very rare case in the literature. The authors present a very rare case with a maxillary right lateral incisor fused to a supernumerary tooth on the palatal side. The eruption was delayed, but eruption occurred naturally at 9 years and 6 months. However, cone-beam computed tomography at 11 years and 6 months revealed it was diagnosed as a fused tooth. The authors undertook a literature review over the past 10 years and found 30 articles about fused teeth between permanent teeth and supernumerary teeth. It was more common in males than females and there were no differences depending on the occurrence. Mesiodistal fusion was more common in the incisor region, while labiopalatal fusion was more common in the molar region. Most cases required dental treatment with a surgical approach, root canal treatment, or orthodontic treatment. The present study highlights the importance of long-term follow-up and suggests the region of fusion and prognosis of the fused tooth may vary depending on the occurrence.
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Affiliation(s)
- Tatsuya Akitomo
- Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan; (S.K.); (M.U.); (M.K.); (A.K.); (T.N.); (M.O.); (C.M.); (R.N.)
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