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Case Reports
. 2015 May;12(5):385-8.

Clinical Course and Treatment of a Triplication Defect: A Case Report

Suruchi Juneja  1 , Kanika Gupta Verma  1 , Navneet Singh  2 , Gagandeep Kaur Sidhu  2 , Navneet Kaur  3
Affiliations
Case Reports

Clinical Course and Treatment of a Triplication Defect: A Case Report

Suruchi Juneja et al. J Dent (Tehran). 2015 May.

Abstract

Fusion is an anomaly manifested in both deciduous and permanent dentitions. Fusion of dental tissues in the primary dentition is of clinical significance owing to the challenges in treatment of the affected teeth and aberrations encountered in development and eruption of their successors. Triple tooth refers to the union of three separate tooth entities. It can occur by fusion, germination, concrescence or a combination of both fusion and germination. Triplication is rarely encountered in the deciduous dentition. The case presented herein describes triplication of deciduous incisors and a supernumerary tooth. The diagnosis was confirmed with the help of radiographs, computed tomography (CT) imaging and histological examination. Retention of the triple tooth had led to crossbite. Extraction was performed for the triple tooth and crossbite was corrected using a composite inclined plane.

Keywords: Deciduous; Supernumerary; Tooth.

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Figures

Fig. 1.
Fig. 1.
A. Preoperative photograph shows carious triple tooth in the anterior maxillary region. B & C. Preoperative periapical and occlusal radio-graphs. D. Extracted specimen showing union of three discrete teeth.
Fig. 2.
Fig. 2.
A. Intraoral photograph after extraction of triple teeth showing tooth #21 in crossbite. B & C. Post-extraction periapical and occlusal radiographs. D. Bonded composite inclined plane in place. E. Postoperative view after correction of the crossbite.
Fig. 3.
Fig. 3.
A. Radiograph of the specimen with gutta percha points in the three canals. B. Ground section showing fusion of three teeth with separate root canals. C & D. CT images and histopathological image confirming the dentinal fusion and three isolated pulp chambers, respectively.
See this image and copyright information in PMC

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