🦷Anomaly of fused teeth in paediatric dentistry.🦷

avatar

​​​​​​

¡Hola mis queridos amigos de Hive amantes de la ciencia!

Hello dear science-loving hive friends.

Paciente lactante de 2 años de edad asiste a consulta con el especialista de odontopediatría por presentar unión de la corona del diente 51 y 52, asociada a una anomalía de forma en los dientes, su motivo de consulta era debido a su frenillo lingual grueso, por lo que al examen intrabucal la Odontopediatra pudo apreciar que presenta fusion de ambas coronas del diente através del esmalte dental, por lo que al paciente se le mandaron hacer radiografías periapicales para determinar si esta anomalía es sólo a nivel del esmalte o si los dientes permanentes también se encuentran unidos, el examen radiográfico nos permitirá determinar un diagnóstico y plan de tratamiento adecuado para este pequeño.

A 2 year old infant patient attended a consultation with the paediatric dentistry specialist due to the union of the crowns of teeth 51 and 52, associated with an anomaly in the shape of the teeth, her reason for consulting was due to her thick lingual frenulum, so on intraoral examination the paediatric dentist could see that she had fusion of both crowns of the tooth through the dental enamel, Therefore the patient was sent for periapical radiographs to determine if this anomaly is only at the level of the enamel or if the permanent teeth are also fused together. The radiographic examination will allow us to determine a diagnosis and appropriate treatment plan for this little boy.

IMG-20221128-WA0021.jpg


Cuando hablamos de anomalía, existe una incidencia durante la vida intrauterina, esta no es más que una anomalía dentaria que se da por medio de la unión embriologica de dos germenes dentarios por medio del esmalte y dentina, normalmente estos dientes que se encuentran fusionados poseen cada uno su cámara pulpar, por lo que que no compartir la pulpa pero puede presentarse en algunos casos una cámara pulpar para los dientes fusionados.

When we talk about anomaly, there is an incidence during intrauterine life, this is nothing more than a dental anomaly that occurs through the embryological union of two tooth germs through the enamel and dentine, normally these teeth that are fused each have their own pulp chamber, so they do not share the pulp but in some cases a pulp chamber may be present for the fused teeth.

IMG-20221128-WA0022.jpg

Estos dientes completan su erupción ya fusionados, no quiere decir que se unen de repente ya desde la gestación estos germenes dentarios se fusionan, esta fusión se localiza en la corona de los dientes pero también en la raíces, como lo podemos observar tendrá mayor incidencia o prevalencia en los dentición primaria que en la permanente, el grupo dentario mas afectado es en los incisivos centrales superiores como los que podemos evidenciar en esta imagen, el segundo grupo dentario mas afectado es el canino, es más común en los dientes superiores que en los inferiores.

These teeth complete their eruption already fused together, it does not mean that these germs suddenly join together from gestation, these tooth germs fuse, this fusion is located in the crown of the teeth but also in the roots, as we can see it will have a higher incidence or prevalence in the primary dentition than in the permanent dentition, the most affected dental group is the upper central incisors as we can see in this image, the second most affected dental group is the canine, it is more common in the upper teeth than in the lower teeth.


Raramente las fusiones afectan a los molares, el tamaño que suele tener es doble debido a la unión que estos tienen, cabe destacar que la etiología se debe a ciertos factores traumático u también por ciertas inflamaciones estas inciden en los folículos de los germenes dentarios, estos hacen que los germenes dentario se unan pero no de una manera adecuada, esta anomalía no representa ningún tipo de riesgo o afecta a los pacientes en funciones básicas como el masticar o etc.

Rarely do fusions affect the molars, the size is usually double due to the union that these have, it should be noted that the etiology is due to certain traumatic factors or also due to certain inflammations that affect the follicles of the tooth germs, these cause the tooth germs to join but not in an adequate manner, this anomaly does not represent any type of risk or affect the patients in basic functions such as chewing, etc.

​---

Por último cabe destacar, que se debe establecer diagnóstico diferencial entre geminacion y fusión, puesto que se tiene a confundir estas patologías puesto que ambas son son anomalías de formación, pero la geminacion tiene una gran diferencia puesto que el mismo germen dentario se divide en varios, pero en cambie la fusion son varios que se unen. En niños la fusion tiene un tratamiento restaurador, pero esto dependerá del diagnóstico radiográfico.

Finally, it should be noted that a differential diagnosis should be established between gemination and fusion, as these pathologies are often confused, as both are anomalies of formation, but gemination has a great difference as the same tooth germ is divided into several, but in contrast, in fusion there are several that are joined together. In children, fusion has a restorative treatment, but this will depend on the radiographic diagnosis.

Referencia Informativa/Reference Informative:

https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1138-123X2005000200007


20220904_104841_0000.png

20220904_115136_0000.png

_Imágenes creadas por mi en Canva/Images created by me on Canva.


Las fotografías fueron tomadas con un teléfono samsung A02s

Las fotos son de mi pertenencia, tomadas por mi.

Texto traducido en Deelp



0
0
0.000
10 comments
avatar

Congratulations @noelyss! You have completed the following achievement on the Hive blockchain And have been rewarded with New badge(s)

You distributed more than 25000 upvotes.
Your next target is to reach 26000 upvotes.

You can view your badges on your board and compare yourself to others in the Ranking
If you no longer want to receive notifications, reply to this comment with the word STOP

Check out the last post from @hivebuzz:

HiveBuzz World Cup Contest - Recap of Day 10
Hive Power Up Day - December 1st 2022
HiveBuzz World Cup Contest - Check your ranking
Support the HiveBuzz project. Vote for our proposal!
0
0
0.000
avatar

Muy interesante tu articulo es muy bueno encontrar informacion sobre nuestra especialidad en Hive

0
0
0.000
avatar

Muchas gracias por tu comentario, así es la odontología es tan importante que siempre debemos darla a conocer, un abrazo @elluismma

0
0
0.000
avatar

Thanks for your contribution to the STEMsocial community. Feel free to join us on discord to get to know the rest of us!

Please consider delegating to the @stemsocial account (85% of the curation rewards are returned).

You may also include @stemsocial as a beneficiary of the rewards of this post to get a stronger support. 
 

0
0
0.000
avatar
Well done @noelyss! You successfully guessed the match result and unlocked your badge!
Click on the badge to view your board. Click [here](https://hivebuzz.me/rankingWC) to check your ranking.

Thank you to our sponsors. Please consider supporting them.

@arcange @leofinance @threespeak @wrestorgonline

Check out the last post from @hivebuzz:

HiveBuzz World Cup Contest - Recap of Day 11
Be ready for the last Hive Power Up Month of the year!
Hive Power Up Day - December 1st 2022
0
0
0.000
avatar
Well done @noelyss! You successfully guessed the match result and unlocked your badge!
Click on the badge to view your board. Click [here](https://hivebuzz.me/rankingWC) to check your ranking.

Thank you to our sponsors. Please consider supporting them.

@arcange @leofinance @threespeak @wrestorgonline

Check out the last post from @hivebuzz:

HiveBuzz World Cup Contest - Recap of Day 11
Be ready for the last Hive Power Up Month of the year!
Hive Power Up Day - December 1st 2022
0
0
0.000
avatar
Well done @noelyss! You successfully guessed the match result and unlocked your badge!
Click on the badge to view your board. Click [here](https://hivebuzz.me/rankingWC) to check your ranking.

Thank you to our sponsors. Please consider supporting them.

@arcange @leofinance @threespeak @wrestorgonline

Check out the last post from @hivebuzz:

HiveBuzz World Cup Contest - Recap of Day 12
Hive Power Up Month Challenge 2022-11 - Winners List
Be ready for the last Hive Power Up Month of the year!
0
0
0.000
avatar
Well done @noelyss! You successfully guessed the match result and unlocked your badge!
Click on the badge to view your board. Click [here](https://hivebuzz.me/rankingWC) to check your ranking.

Thank you to our sponsors. Please consider supporting them.

@arcange @leofinance @threespeak @wrestorgonline

Check out the last post from @hivebuzz:

Feedback from the December Hive Power Up Day
HiveBuzz World Cup Contest - Recap of Day 12
Hive Power Up Month Challenge 2022-11 - Winners List
0
0
0.000