Re: interesting case-ds???

[Guest guest]

It looks like dens-in dens.....although this image is more common on the palatal aspect. what do you think???/

[Guest guest]

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maybe fusion or gemination!

[Guest guest]

hi..

It is indeed a very interesting presentation.. My guess would be a supernumery

or an odontoma fused to the CI, as both lateral incisors are visible on either

side it can't be a normal fusion.. And a typical case of gemination is one in

which the is splitting of the tooth hence it might appear notched.. I would like

to take a radiograph to know if this overgrowth is all enamel or there is any

pulp in the centre. There r 4 cusps or rather lobes in a central incisor.. Three

labial and fourth is cingulam.. It is also possible that this is an additional

lobe that was present during development..

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[Guest guest]

it might be Talon casp...the case need restorative specialist referal ,treatment option will be the same as luymyla sugest,

From: Lyudmyla Huhley <huhley2006@...>" " < > Sent: Saturday, July 14, 2012 6:00 PMSubject: Re: Re: interesting case-ds???

Thank you very much I had a look through other sources as well..i feel that it is gemination and developmental disturbance arnd 9-10 months in utero cap stage...but i must admit it is very weired case..never seen in my life.How to treat it?

accept

acrylic venner/porcelain

and crowns

my consern is if those additional lobes have pulp??thats gonna be complicated!!

Do you think on Xray we will see pulp chamber in additional lobes..?maybe if we do with diff angle?

SincerelyLyudmyla

From: dreams_dental <dreams_dental@...> Sent: Saturday, 14 July 2012, 14:56Subject: Re: interesting case-ds???

hi..It is indeed a very interesting presentation.. My guess would be a supernumery or an odontoma fused to the CI, as both lateral incisors are visible on either side it can't be a normal fusion.. And a typical case of gemination is one in which the is splitting of the tooth hence it might appear notched.. I would like to take a radiograph to know if this overgrowth is all enamel or there is any pulp in the centre. There r 4 cusps or rather lobes in a central incisor.. Three labial and fourth is cingulam.. It is also possible that this is an additional lobe that was present during development.. >> > > > >> maybe fusion or

gemination!>

[Guest guest]

Hi all

Treatment definitely depends upon x ray findings. Assuming no additional pathos

is present, the tooth goes in for intentional root c therapy which Will have a

higher chance of success in case of gemination than fusion. Cause there'll be

only one canal leading up to the apex. It is advisable to place the margin on

sound enamel (no grooves, continuous margin) even if it means going sub

gingival. Ideally an ceramic crown would be the best option.

Hope this gives You a fair idea. Please correct me if I'm wrong

regards

Sridevi

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