Included third molar fused with supernumerary: Case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/18303 |
Resumo: | Fusion is a dental anomaly characterized by the union of two tooth germs. Supernumerary teeth are elements that develop beyond normal dentition. The combination of these two deviations from normal standards makes diagnosis challenging. These anomalies can result in serious problems in dentition development if they are not diagnosed and treated early. After a correct diagnosis, the dental surgeon must evaluate all parameters and decide on the best treatment approach. Tooth removal is often indicated when it presents with complications or any associated pathology. The objective is to report a case of a mandibular third molar fused with a supernumerary, discuss these anomalies, as well the prevalence, management, and discussion of the subject. This is a case report, of the descriptive qualitative type, based on the scientific literature. The literature shows that the fusion between a supernumerary and another element is a rare condition, and in some cases, endodontic treatment can be chosen, but in others surgical treatment is feasible. In the case reported here, we opted for surgical removal of the element to prevent impaction of the tooth when fully developed, which would make the treatment even more difficult. We conclude that monitoring the evolution of third molars should be done early to observe their formation process and diagnose any anomaly that may arise, to resolve it early and avoid further consequences. Furthermore, we emphasize the importance of CBCT in differential diagnosis and in obtaining information for surgical planning. |
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Included third molar fused with supernumerary: Case report Tercer molar incluído fusionado con supernumerario: Reporte de casoTerceiro molar incluso fusionado com supranumerário: Relato de casoThird molarFusionSupernumerary teethDental anormalities.Terceiro MolarFusãoSupranumerárioAnomalias dentárias.Tercer molarFusiónSupernumerarioAnomalías dentales.Fusion is a dental anomaly characterized by the union of two tooth germs. Supernumerary teeth are elements that develop beyond normal dentition. The combination of these two deviations from normal standards makes diagnosis challenging. These anomalies can result in serious problems in dentition development if they are not diagnosed and treated early. After a correct diagnosis, the dental surgeon must evaluate all parameters and decide on the best treatment approach. Tooth removal is often indicated when it presents with complications or any associated pathology. The objective is to report a case of a mandibular third molar fused with a supernumerary, discuss these anomalies, as well the prevalence, management, and discussion of the subject. This is a case report, of the descriptive qualitative type, based on the scientific literature. The literature shows that the fusion between a supernumerary and another element is a rare condition, and in some cases, endodontic treatment can be chosen, but in others surgical treatment is feasible. In the case reported here, we opted for surgical removal of the element to prevent impaction of the tooth when fully developed, which would make the treatment even more difficult. We conclude that monitoring the evolution of third molars should be done early to observe their formation process and diagnose any anomaly that may arise, to resolve it early and avoid further consequences. Furthermore, we emphasize the importance of CBCT in differential diagnosis and in obtaining information for surgical planning.La fusión es una anomalía dental caracterizada por la unión de dos gérmenes dentales. Los dientes supernumerarios son elementos que se desarrollan más allá de la dentición normal. La combinación de estas dos desviaciones de los estándares normales hace que el diagnóstico sea un desafío. Estas anomalías pueden resultar en serios problemas en el desarrollo de la dentición si no se diagnostican y tratan a tiempo. Después de un diagnóstico correcto, el cirujano dental debe evaluar todos los parámetros y decidir el mejor enfoque de tratamiento. La extracción dentaria suele estar indicada cuando presenta complicaciones o alguna patología asociada. El objetivo es reportar un caso de un tercer molar mandibular fusionado con un supernumerario, discutir estas anomalías, así como la prevalencia, manejo y discusión del tema. Se trata de un caso clínico, de tipo descriptivo cualitativo, basado en la literatura científica. La literatura muestra que la fusión entre un supernumerario y otro elemento es una condición rara, y en algunos casos se puede optar por el tratamiento endodóntico, pero en otros el tratamiento quirúrgico es factible. En el caso aquí reportado, optamos por la remoción quirúrgica del elemento con el fin de evitar la impactación del diente cuando esté completamente desarrollado, lo que dificultaría aún más el tratamiento. Concluimos que el seguimiento de la evolución de los terceros molares debe realizarse de forma precoz para observar su proceso de formación y diagnosticar cualquier anomalía que pueda surgir, con el fin de resolverla precozmente y evitar mayores consecuencias. Además, destacamos la importancia de la CBCT en el diagnóstico diferencial y en la obtención de información para la planificación quirúrgica.A fusão é uma anomalia dentária caracterizada pela união de dois germes dentários. Os dentes supranumerários são elementos que se desenvolvem além da dentição normal. A combinação desses dois desvios dos padrões de normalidade torna o diagnóstico desafiador. Essas anomalias podem resultar em graves problemas no desenvolvimento da dentição se não forem diagnosticadas e tratadas precocemente. Após um correto diagnóstico, o cirurgião dentista deve avaliar todos os parâmetros e decidir qual a melhor conduta de tratamento. A remoção do dente é frequentemente indicada quando se apresenta com complicação ou qualquer patologia associada. O objetivo é relatar um caso de terceiro molar inferior fusionado com um supranumerário, discorrer sobre essas anomalias, bem como prevalência, manejo e discussão do tema. Trata-se de um relato de caso, do tipo qualitativo descritivo, com embasamento na literatura científica. A literatura mostra que a fusão entre um supranumerário e um outro elemento é uma condição rara, e em alguns casos pode-se optar pelo tratamento endodôntico, mas em outros é viável o cirúrgico. No caso relatado, optou-se pela remoção cirúrgica do elemento, a fim de prevenir uma impacção do dente quando completamente desenvolvido, o que dificultaria ainda mais o tratamento. Concluímos que o acompanhamento da evolução dos terceiros molares deve ser feito desde cedo para observar seu processo de formação e diagnosticar qualquer anomalia que venha a surgir, a fim de solucionar precocemente e evitar maiores consequências. Ademais, ressaltamos a importância da TCFC no diagnóstico diferencial e na obtenção de informações para o planejamento cirúrgico.Research, Society and Development2021-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1830310.33448/rsd-v10i9.18303Research, Society and Development; Vol. 10 No. 9; e52310918303Research, Society and Development; Vol. 10 Núm. 9; e52310918303Research, Society and Development; v. 10 n. 9; e523109183032525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/18303/16434Copyright (c) 2021 Amanda Barbosa de Godoy; Isaac Müller de Sousa Maia; Eudson Paiva de Godoy; Rayanne Karina Silva Cruzhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGodoy, Amanda Barbosa de Maia, Isaac Müller de Sousa Godoy, Eudson Paiva de Cruz, Rayanne Karina Silva 2021-09-12T14:28:06Zoai:ojs.pkp.sfu.ca:article/18303Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:38:28.446622Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Included third molar fused with supernumerary: Case report Tercer molar incluído fusionado con supernumerario: Reporte de caso Terceiro molar incluso fusionado com supranumerário: Relato de caso |
title |
Included third molar fused with supernumerary: Case report |
spellingShingle |
Included third molar fused with supernumerary: Case report Godoy, Amanda Barbosa de Third molar Fusion Supernumerary teeth Dental anormalities. Terceiro Molar Fusão Supranumerário Anomalias dentárias. Tercer molar Fusión Supernumerario Anomalías dentales. |
title_short |
Included third molar fused with supernumerary: Case report |
title_full |
Included third molar fused with supernumerary: Case report |
title_fullStr |
Included third molar fused with supernumerary: Case report |
title_full_unstemmed |
Included third molar fused with supernumerary: Case report |
title_sort |
Included third molar fused with supernumerary: Case report |
author |
Godoy, Amanda Barbosa de |
author_facet |
Godoy, Amanda Barbosa de Maia, Isaac Müller de Sousa Godoy, Eudson Paiva de Cruz, Rayanne Karina Silva |
author_role |
author |
author2 |
Maia, Isaac Müller de Sousa Godoy, Eudson Paiva de Cruz, Rayanne Karina Silva |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Godoy, Amanda Barbosa de Maia, Isaac Müller de Sousa Godoy, Eudson Paiva de Cruz, Rayanne Karina Silva |
dc.subject.por.fl_str_mv |
Third molar Fusion Supernumerary teeth Dental anormalities. Terceiro Molar Fusão Supranumerário Anomalias dentárias. Tercer molar Fusión Supernumerario Anomalías dentales. |
topic |
Third molar Fusion Supernumerary teeth Dental anormalities. Terceiro Molar Fusão Supranumerário Anomalias dentárias. Tercer molar Fusión Supernumerario Anomalías dentales. |
description |
Fusion is a dental anomaly characterized by the union of two tooth germs. Supernumerary teeth are elements that develop beyond normal dentition. The combination of these two deviations from normal standards makes diagnosis challenging. These anomalies can result in serious problems in dentition development if they are not diagnosed and treated early. After a correct diagnosis, the dental surgeon must evaluate all parameters and decide on the best treatment approach. Tooth removal is often indicated when it presents with complications or any associated pathology. The objective is to report a case of a mandibular third molar fused with a supernumerary, discuss these anomalies, as well the prevalence, management, and discussion of the subject. This is a case report, of the descriptive qualitative type, based on the scientific literature. The literature shows that the fusion between a supernumerary and another element is a rare condition, and in some cases, endodontic treatment can be chosen, but in others surgical treatment is feasible. In the case reported here, we opted for surgical removal of the element to prevent impaction of the tooth when fully developed, which would make the treatment even more difficult. We conclude that monitoring the evolution of third molars should be done early to observe their formation process and diagnose any anomaly that may arise, to resolve it early and avoid further consequences. Furthermore, we emphasize the importance of CBCT in differential diagnosis and in obtaining information for surgical planning. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/18303 10.33448/rsd-v10i9.18303 |
url |
https://rsdjournal.org/index.php/rsd/article/view/18303 |
identifier_str_mv |
10.33448/rsd-v10i9.18303 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/18303/16434 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 9; e52310918303 Research, Society and Development; Vol. 10 Núm. 9; e52310918303 Research, Society and Development; v. 10 n. 9; e52310918303 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052833710735360 |