Oelgiesser Dan, Zyc Roni, Evron Dor, Kaplansky Gilad, Levin Liran
Department of Orthodontics, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel.
Quintessence Int. 2013 Jul;44(7):531-3. doi: 10.3290/j.qi.a29506.
To report a multidisciplinary treatment of gemination/fusion of the left maxillary first incisor.
An 11-year-old boy presented to our clinic with the chief complaint of an unpleasant appearance of his anterior teeth. Clinical and radiographic evaluation revealed gemination/fusion of the left maxillary first incisor combined with an Angle's Class II relationship (skeletal), retruded mandible, deep bite, short lower face height, and proclinaion of the maxillary incisors. The multidisciplinary approached treatment included orthodontic treatment engaged with root canal treatment of the left maxillary first incisor followed by periodontal surgical separation of the mesial root of the left maxillary first incisor and restoration of the crown using resin restoration.
Tooth shape anomalies in general dental practice may be rare, but the dentist should be aware of the nature of the problems encountered and the specific treatment needs. The treatment may be complex and contain various treatment protocols that may include interdisciplinary endodontic, surgical, and periodontal interventions.
报告一例左侧上颌第一恒切牙双生/融合的多学科治疗病例。
一名11岁男孩因前牙外观不佳前来我院就诊。临床及影像学评估显示左侧上颌第一恒切牙双生/融合，合并安氏II类错（骨性）、下颌后缩、深覆、面下1 / 3高度降低及上颌切牙前倾。多学科治疗方法包括正畸治疗，同时对左侧上颌第一恒切牙进行根管治疗，随后对左侧上颌第一恒切牙近中根进行牙周手术分离，并使用树脂修复体进行冠修复。
在一般牙科诊疗中，牙齿形态异常可能较为罕见，但牙医应了解所遇到问题的本质及具体治疗需求。治疗可能较为复杂，包含多种治疗方案，可能涉及跨学科的牙髓、外科及牙周干预措施。
