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Case Reports
. 2016 Jan-Mar;9(1):90-8.
doi: 10.5005/jp-journals-10005-1341. Epub 2016 Apr 22.

Review of Dilaceration of Maxillary Central Incisor: A Mutidisciplinary Challenge

Pawanjit Singh Walia  1 , Ajit Kumar Rohilla  2 , Shweta Choudhary  3 , Ravneet Kaur  4
Affiliations
Case Reports

Review of Dilaceration of Maxillary Central Incisor: A Mutidisciplinary Challenge

Pawanjit Singh Walia et al. Int J Clin Pediatr Dent. 2016 Jan-Mar.

Abstract

Traumatic injuries to primary dentition may interfere with the development of permanent dentition. Among the many malformations, dilaceration is particularly important to the clinician. Management of dilacerated maxillary central incisor requires a multidisciplinary approach. The main purpose of this review is to present the etiological factors, the mechanism, clinical features, radiographic features and treatment of dilaceration of the maxillary central incisors. How to cite this article: Walia PS, Rohilla AK, Choudhary S, Kaur R. Review of Dilaceration of Maxillary Central Incisor: A Multidisciplinary Challenge. Int J Clin Pediatr Dent 2016;9(1):90-98.

Keywords: Dilaceration; Maxillary central incisor; Multidisci-plinary management; Trauma..

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Conflict of interest statement

Source of support: Nil

Conflict of interest: None

Figures

Fig. 1:
Fig. 1:
An extracted dilacerated maxillary central incisor tooth showing “classic” dilaceration
Fig. 2:
Fig. 2:
Close proximity of maxillary deciduous and permanent successor tooth germ at 2-3 years of age
Fig. 3:
Fig. 3:
Close proximity of maxillary deciduous and permanent successor tooth germ at 4-5 years of age
Fig. 4:
Fig. 4:
Vertically directed force through the deciduous incisor transmitted to the labial aspect of the mineralizing root of unerupted permanent incisor
Fig. 5:
Fig. 5:
Progressive alteration in the direction of a dilacerated incisor during unequal root formation following traumatic injury. The position of Hertwig’s epithelial root sheath remains unaltered
Fig. 6:
Fig. 6:
Periapical radiograph showing “Bulls Eye” phenomenon in a central incisor with dilacerated root
Figs 7A to C:
Figs 7A to C:
(A) Occlusal view of a patient with maxillary left permanent central incisor dilaceration, (B) panoramic radiographic view of a patient with maxillary left permanent central incisor dilaceration, and (C) lateral cephalogram of a patient with maxillary left permanent central incisor dilaceration
Figs 8A and B:
Figs 8A and B:
(A) Sagittal section of cone beam computed tomography image showing an impacted tooth root located palatally with a large part close to palatal cortical bone, and (B) three-dimensional frontal photographic reconstruction from CBCT image of a patient with maxillary left permanent central incisor dilaceration
See this image and copyright information in PMC

References

    1. Tomes J. A course of lectures on dental physiology and surgery delivered at the Middlesex Hospital School. London: John W Parker; 1848. - PMC - PubMed
    1. Shafer WG, Hine MK., Levy BM. A Textbook of Oral Pathology. Philadelphia: WB Saunders Co; 1983. pp. 308–311.
    1. Tiecke RW., Stuteville OH., Calandra JC. Pathologic Physiology of Oral Disease. St Louis: CV Mosby Co; 1959.
    1. British Standards Institute. Glossary of dental terms, BSI 4492, 1983
    1. Andreasen JO, Sundstrom B, Ravn JJ. The effect of traumatic injuries to primary teeth on their permanent successors. I. A clinical and histologic study of 117 injured permanent teeth. Scand J Dent Res. 1971;79(4):219–283. - PubMed

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