'Triplication' Defect in Deciduous Teeth: an Unusual Odontogenic Anomaly

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2015 Mar 7

PMID 25743857

Citations 1

Authors

Srinivas L Shanthraj

Shanthala B Mallikarjun

Shital Kiran

Bobby Wilson

Affiliations

Soon will be listed here.

Abstract

Developmental odontogenic anomalies can occur in primary as well as in permanent dentition leading to morphological variations in shape, size and structure and numerical variations such as hypodontia. The most commonly reported odontogenic anomaly in primary dentition is conjoined teeth. Conjoined teeth can be due to fusion or gemination. Relevant clinical and radiographic evaluation is a must to differentiate between the two. Occurrence of double fusion as an anomaly may not be infrequent, but triple fusion is a rare odontogenic anomaly. We report a case of a 7.5-year-old girl who clinically had a large crown due to triple fusion in her dentition, between two normal primary teeth and a supernumerary tooth. This paper gives a brief insight into the incidence, associated quandaries and diagnosis and treatment modalities of a triple fusion.

Citing Articles

Simultaneous occurrence of triple teeth and double teeth in primary dentition: A rare case report and review of the literature.

Lagarde M, Bonnet A, Douangmala N, Traing M, Dursun E Clin Case Rep. 2020; 8(7):1277-1286.

PMID: 32695375 PMC: 7364066. DOI: 10.1002/ccr3.2876.

References

GELLIN M . The distribution of anomalies of primary anterior teeth and their effect on the permanent successors. Dent Clin North Am. 1984; 28(1):69-80. View

Aguilo L, Gandia J, Cibrian R, Catala M . Primary double teeth. A retrospective clinical study of their morphological characteristics and associated anomalies. Int J Paediatr Dent. 2000; 9(3):175-83. DOI: 10.1046/j.1365-263x.1999.00131.x. View

BURLEY M, Reynolds C . GERMINATION OF THREE ANTERIOR TEETH. Br Dent J. 1965; 118:169-70. View

Mohapatra A, Prabhakar A, Raju O . An unusual triplication of primary teeth-a rare case report. Quintessence Int. 2010; 41(10):815-20. View

Brook A, WINTER G . Double teeth. A retrospective study of 'geminated' and 'fused' teeth in children. Br Dent J. 1970; 129(3):123-30. DOI: 10.1038/sj.bdj.4802533. View

Ballal N, Kundabala M, Acharya S . Esthetic management of fused carious teeth: a case report. J Esthet Restor Dent. 2006; 18(1):13-7. DOI: 10.2310/6130.2006.00002. View

Mattos-Graner R, Rontani R, Gaviao M, de Souza Filho F, Granatto A, de Almeida O . Anomalies of tooth form and number in the permanent dentition: report of two cases. ASDC J Dent Child. 1997; 64(4):298-302. View

Mochizuki K, Yonezu T, Yakushiji M, Machida Y . The fusion of three primary incisors: report of case. ASDC J Dent Child. 2000; 66(6):421-5, 367. View

Hulsmann M, Bahr R, Grohmann U . Hemisection and vital treatment of a fused tooth--literature review and case report. Endod Dent Traumatol. 1998; 13(6):253-8. DOI: 10.1111/j.1600-9657.1997.tb00051.x. View

10.

Santos L, Forte F, Rocha M . Pulp therapy in a maxillary fused primary central incisor--report of a case. Int J Paediatr Dent. 2003; 13(4):274-8. DOI: 10.1046/j.1365-263x.2003.00464.x. View

11.

Yadav S, Tyagi S, Kumar P, Sharma D . Triplication of deciduous teeth: a rare dental anomaly. Niger J Surg. 2014; 19(2):85-7. PMC: 3899555. DOI: 10.4103/1117-6806.119244. View

12.

Nik-Hussein N, Abdul Majid Z . Dental anomalies in the primary dentition: distribution and correlation with the permanent dentition. J Clin Pediatr Dent. 1996; 21(1):15-9. View

13.

Olivan-Rosas G, Lopez-Jimenez J, Gimenez-Prats M, Piqueras-Hernandez M . Considerations and differences in the treatment of a fused tooth. Med Oral. 2004; 9(3):224-8. View

14.

Knapp J, McMahon J . Treatment of triple tooth: report of case. J Am Dent Assoc. 1984; 109(5):725-7. DOI: 10.14219/jada.archive.1984.0180. View

15.

Neves A, Neves M, Farinhas J . Bilateral connation of permanent mandibular incisors: a case report. Int J Paediatr Dent. 2002; 12(1):61-5. DOI: 10.1046/j.0960-7439.2001.00324.x. View

16.

Pereira A, Fidel R, Fidel S . Maxillary lateral incisor with two root canals: fusion, gemination or dens invaginatus?. Braz Dent J. 2001; 11(2):141-6. View

17.

Curzon J, Curzon M . Congenital dental anomalies in a group of British Columbia children. J Can Dent Assoc (Tor). 1967; 33(10):554-8. View

18.

Shilpa G, Nuvvula S . Triple tooth in primary dentition: A proposed classification. Contemp Clin Dent. 2013; 4(2):263-7. PMC: 3757897. DOI: 10.4103/0976-237X.114890. View

19.

Kramer P, Feldens C, Ferreira S, Spiguel M, Feldens E . Dental anomalies and associated factors in 2- to 5-year-old Brazilian children. Int J Paediatr Dent. 2008; 18(6):434-40. DOI: 10.1111/j.1365-263X.2008.00918.x. View

20.

Tomizawa M, Shimizu A, Hayashi S, Noda T . Bilateral maxillary fused primary incisors accompanied by succedaneous supernumerary teeth: report of a case. Int J Paediatr Dent. 2002; 12(3):223-7. DOI: 10.1046/j.1365-263x.2002.00351.x. View