MULTIDISCIPLINARY TREATMENT OF A PATIENT WITH GEMINATED MAXILLARY CENTRAL INCISORS.

Luis Gonzalez Navarro; Raul Vera Lubary; Natalio Pangrazio; Heriberto Nunez; Lourdes Gonzalez Garcia; Melissa Esther Rivera–Pena; Clovis Monteiro Bramante

Volume : VII, Issue : X, October - 2017

MULTIDISCIPLINARY TREATMENT OF A PATIENT WITH GEMINATED MAXILLARY CENTRAL INCISORS.

Luis Gonzalez Navarro, Raul Vera Lubary, Natalio Pangrazio, Heriberto Nunez, Lourdes Gonzalez Garcia, Melissa Esther Rivera Pena, Clovis Monteiro Bramante

Abstract :

Different cases of dental development anomalies in the permanent and temporary dentition have been reported in the literature. The purpose of this case presentation is to describe the multidisciplinary treatment of a 15–year–old patient with geminated maxillary central incisors. During clinical examination, a diagnosis of pulp necrosis was confirmed on the maxillary left central incisor and on the maxillary left lateral incisor. Radiographic examination suggested the presence of a periapical lesion in the maxillary left lateral incisor and a geminated maxillary left central incisor presenting two root canals and a periapical lesion. Endodontic and orthodontic treatments followed by restorative dentistry were performed. Follow–up examination revealed the healing of the periapical tissues. The teeth were asymptomatic and in functional use. In conclusion, an accurate treatment planning and a long–term multidisciplinary management of these unusual cases could promote a successful outcome, preserving aesthetics, functionality and the healing of the periapical tissues.