A Report of Treatment of a Fused Permanent Central Incisor and Supplemental Lateral Incisor

From Volume 35, Issue 9, November 2008 | Pages 636-641

Authors

A B Ammari

BDS, MSc, MFDS RCS, MPaed Dent RCS

Specialist in Paediatric Dentistry, Glasgow Dental Hospital and School, 378 Sauchiehall Street, Glasgow G2 3JZ, UK

Articles by A B Ammari

R G Young

BDS, DDOrth, RCPS

Associate Specialist in Orthodontics, Glasgow Dental Hospital and School, 378 Sauchiehall Street, Glasgow G2 3JZ, UK

Articles by R G Young

R R Welbury

MBBS, BDS, PhD, FDS RCS, FDS RCPS

Professor in Paediatric Dentistry, Glasgow Dental Hospital and School, 378 Sauchiehall Street, Glasgow G2 3JZ, UK

Articles by R R Welbury

D E Fung

BDS, LDS RCS, FDS RCS

Consultant in Paediatric Dentistry, Paediatric Dentistry Department, Glasgow Dental Hospital and School, 378 Sauchiehall Street, Glasgow G2 3JZ, UK

Articles by D E Fung

Abstract

A 9-year-old boy presented with a fused maxillary right permanent central incisor and displacement of the right permanent lateral incisor palatally. An unerupted supplemental maxillary left permanent lateral incisor was noted radiographically. The maxillary fused right permanent central incisor was sectioned under general anaesthesia. The distal portion was extracted as planned; a vital partial pulpotomy was carried out on the distal aspect of the retained portion. Fixed orthodontic treatment commenced after 28 months to align the maxillary anterior segment. After completion, the maxillary right permanent central incisor was built up with composite to resemble the adjacent incisor.

Article