Adhering to basic principles in a rare dental condition: a case report of severe dilaceration
<p>Background: Dilaceration is a rare dental condition that can occur during tooth development, resulting in distortion of the normal axial relationship between the crown and root. Although it can affect any tooth, it most commonly occurs in permanent incisors, often as a result of trauma to t...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Academy Publishing Center
2023-04-01
|
| Series: | Advances in Medical, Pharmaceutical and Dental Research |
| Subjects: | |
| Online Access: | http://apc.aast.edu/ojs/index.php/AMPDR/article/view/612 |
| _version_ | 1826547277778386944 |
|---|---|
| author | Shahab Javanmardi Abubaker Qutieshat |
| author_facet | Shahab Javanmardi Abubaker Qutieshat |
| author_sort | Shahab Javanmardi |
| collection | DOAJ |
| description | <p>Background: Dilaceration is a rare dental condition that can occur during tooth development, resulting in distortion of the normal axial relationship between the crown and root. Although it can affect any tooth, it most commonly occurs in permanent incisors, often as a result of trauma to the primary predecessor. The impact of even a slight displacement of a primary incisor can be significant, disrupting the normal development of the follicles of new permanent teeth. Despite its rarity, dilaceration can pose significant challenges for dental professionals in terms of diagnosis and treatment. Case Description: A case report of a 27-year-old female patient is presented, who attended with a missing maxillary left permanent central incisor and a hard palpable bulge in the maxillary vestibular area. Radiography revealed an impacted maxillary left central incisor, which was found to be dilacerated with a 120⁰ angle. Consequently, surgical extraction of the impacted tooth was planned as orthodontic extrusion is not a viable option in such cases. The extracted tooth was found to have no signs of resorption, and healing was progressing satisfactorily. Conclusion: Radiography is the most reliable method of detecting the condition. The report emphasizes the importance of detecting dilaceration early and adhering to basic principles for its diagnosis and management. Clinical Significance: The report provides valuable insights for dental professionals on the surgical management of severely dilacerated teeth and the need for a multidisciplinary approach due to the high risk of root fractures.</p><p> </p><p><strong>Received: 04 March 2023</strong></p><p><strong>Accepted: 09 April 2023</strong></p><p><strong>Published: 20 April 2023</strong></p> |
| first_indexed | 2024-03-12T01:39:58Z |
| format | Article |
| id | doaj.art-29d32418308d481f802017f3fdefceb8 |
| institution | Directory Open Access Journal |
| issn | 2812-488X 2812-4898 |
| language | English |
| last_indexed | 2025-03-14T05:47:06Z |
| publishDate | 2023-04-01 |
| publisher | Academy Publishing Center |
| record_format | Article |
| series | Advances in Medical, Pharmaceutical and Dental Research |
| spelling | doaj.art-29d32418308d481f802017f3fdefceb82025-03-05T13:21:51ZengAcademy Publishing CenterAdvances in Medical, Pharmaceutical and Dental Research2812-488X2812-48982023-04-013181110.21622/AMPDR.2023.03.1.008279Adhering to basic principles in a rare dental condition: a case report of severe dilacerationShahab Javanmardi0Abubaker Qutieshat1Adult Restorative Dentistry Oman Dental College Muscat, OmanBDS MSc PhD Assistant professor Adult Restorative Dentistry Oman Dental College Muscat, Oman Phone number +968 2466 5556 aqutieshat@staff.odc.edu.om ORCID 0000-0002-3569-6576<p>Background: Dilaceration is a rare dental condition that can occur during tooth development, resulting in distortion of the normal axial relationship between the crown and root. Although it can affect any tooth, it most commonly occurs in permanent incisors, often as a result of trauma to the primary predecessor. The impact of even a slight displacement of a primary incisor can be significant, disrupting the normal development of the follicles of new permanent teeth. Despite its rarity, dilaceration can pose significant challenges for dental professionals in terms of diagnosis and treatment. Case Description: A case report of a 27-year-old female patient is presented, who attended with a missing maxillary left permanent central incisor and a hard palpable bulge in the maxillary vestibular area. Radiography revealed an impacted maxillary left central incisor, which was found to be dilacerated with a 120⁰ angle. Consequently, surgical extraction of the impacted tooth was planned as orthodontic extrusion is not a viable option in such cases. The extracted tooth was found to have no signs of resorption, and healing was progressing satisfactorily. Conclusion: Radiography is the most reliable method of detecting the condition. The report emphasizes the importance of detecting dilaceration early and adhering to basic principles for its diagnosis and management. Clinical Significance: The report provides valuable insights for dental professionals on the surgical management of severely dilacerated teeth and the need for a multidisciplinary approach due to the high risk of root fractures.</p><p> </p><p><strong>Received: 04 March 2023</strong></p><p><strong>Accepted: 09 April 2023</strong></p><p><strong>Published: 20 April 2023</strong></p>http://apc.aast.edu/ojs/index.php/AMPDR/article/view/612dilacerationdiagnosisimpactioninjury |
| spellingShingle | Shahab Javanmardi Abubaker Qutieshat Adhering to basic principles in a rare dental condition: a case report of severe dilaceration Advances in Medical, Pharmaceutical and Dental Research dilaceration diagnosis impaction injury |
| title | Adhering to basic principles in a rare dental condition: a case report of severe dilaceration |
| title_full | Adhering to basic principles in a rare dental condition: a case report of severe dilaceration |
| title_fullStr | Adhering to basic principles in a rare dental condition: a case report of severe dilaceration |
| title_full_unstemmed | Adhering to basic principles in a rare dental condition: a case report of severe dilaceration |
| title_short | Adhering to basic principles in a rare dental condition: a case report of severe dilaceration |
| title_sort | adhering to basic principles in a rare dental condition a case report of severe dilaceration |
| topic | dilaceration diagnosis impaction injury |
| url | http://apc.aast.edu/ojs/index.php/AMPDR/article/view/612 |
| work_keys_str_mv | AT shahabjavanmardi adheringtobasicprinciplesinararedentalconditionacasereportofseveredilaceration AT abubakerqutieshat adheringtobasicprinciplesinararedentalconditionacasereportofseveredilaceration |