Triple fusion
One of my rarest cases! Not just a fusion of two primary teeth... Not just a supernumerary tooth... But a fusion of two primary teeth with a supernumerary tooth. It’s like an equivalent of a shiny Pokémon in pediatric dentistry! Let me know below what’s the most interesting thing you’ve seen in dentistry! 👇👍
CC: “weird looking super tooth”
Dx: fusion of #P, #Q, and supernumerary #Q’
Tx: nothing!
🔑: You ever heard of the saying, “Life is like a box of chocolate. You never know what you’re gonna get”? Well in this case, the patient had an extra tooth that fused with two other baby teeth. What a treat! Eruption of permanent teeth might be slightly delayed but is within the normal range. Resorption of the “super tooth” is occurring normally. Because of this, no treatment is indicated and we can wait for it to exfoliate naturally.
Let’s do some fun math while we’re at it 🤓
Prevalence of supernumerary primary tooth: 0.3–0.6%
Prevalence of primary tooth fusion: 0.5-2.5%
So both combined is 0.6% * 2.5% = 0.015%, or 1 in 6666 patients!
#theydidthemath
Bahadure, Rakesh N., et al. "Supernumerary teeth in primary dentition and early intervention: a series of case reports." Case reports in dentistry 2012 (2012).
Alpöz, Ali Riza, Dilsah Munanoğu, and Ozant Öncag. "Mandibular bilateral fusion in primary dentition: case report." Journal of dentistry for children 70.1 (2003): 74-76.
