• 대한치과의사협회지
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• 제58권7호
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• pp.398-403
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• 2020

Odontogenic anomalies can occur as a result of conjoining defects. These include fusion, gemination and concrescence. The presence of fused teeth can lead to various clinical problems, including the aplasia of permanent successor, the supernumerary teeth and delayed eruption of permanent teeth. In general, the supernumerary teeth associated with fusion is mainly found in the maxillary anterior region. This report describes rare cases of supernumerary tooth associated with fused teeth of mandibular primary lateral incisor and canine. In the first case, fused teeth was extracted. The supernumerary teeth was erupted at canine space. The second case is still being observed. Extraction of fused teeth and observation of supernumerary teeth is planned.

• 치과방사선
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• 제20권1호
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• pp.79-89
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• 1990

The incidence and several characteristic features of fused and geminated teeth were studied radiographically, with full mouth periapical radiogram and pantomogram, in 4201 patients of mixed dentition and 5358 patients of permanent dentition. The obtained results were as follows: 1. The prevalence was revealed to 2.86%, 0.32%, 0.33%, and 0.06% in deciduous fused tooth, permanent fused tooth, deciduous geminated tooth and permanent geminated tooth respectively, and these anomalies were occured in female more than male. 2. Fused teeth were observed predominantly in lower anterior teeth area, especially in lateral incisor and canine region, and many cases of deciduous geminated tooth were observed in upper central incisor region. 3. Congenital missing rates of succedaneous tooth in deciduous fused teeth were 57.1 %, 85.7%, 71.0%, 69.0% in upper right and left central-lateral incisor regions, lower right and left lateral incisor-canine regions, respectively. 4. Prevalence of dental caries was 42.3%, 18.8% and 5.6% in deciduous fused, deciduous geminated and permanent fused tooth, respectively. 5. In classifying of fused and geminated teeth into 9 types, by following appearance such as number of crown, root, pulp chamber and pulp canal of those teeth, it was more favorable that Type Ⅰ(2 crown, 2 root, 2 pulp chamber, 2 pulp canal) in deciduous fused tooth and Type Ⅸ (I crown, 1 root, 1 pulp chamber, 1 pulp canal) in permanent fused tooth, deciduous and permanent geminated tooth.

• 대한치과의사협회지
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• 제11권5호
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• pp.313-316
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• 1973

970 children visited attached hospital, S.N.U, were taken orthopantomograph. Of those children, there were 14 patients who have primary fused teeth. The author observed those cases and got following results. 1) Incidence of primary fused teeth was higher in female. 2) In the order of frequency, fused teeth of mandibular right primary lateral incisor and canine were 9 and that of mandibular left primary lateral incisor and canine were 4, and there was only one case in maxillary. 3) 13 cases showed the congenital absence of lateral incisor of the corresponding permanent teeth. 4) Incidence of fused teeth was 1.44%.

• 대한소아치과학회지
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• 제10권1호
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• pp.123-129
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• 1983

This study was designed to find out the prevalence d the fused teeth in the primary dentition and their successors. The clinical and panoramic radiographic examination was undertaken of 5226 children (male 2812, female 2414) attended department of Pedodontics, College of Dentistry, Yon Sei University, Seoul, Korea. The results were as follows; 1. The prevalence of the fused teeth in the primary dentition was 1.03 percent and female (1.2%) affected more frequently than male (0.89%). 2. Compare with the maxilla and mandible, the prevalence of the fused teeth were higher in the mandible than in the maxilla. 3. The fusion of the primary teeth were occured between central with lateral incisor in the maxilla, and central with lateral and lateral with canine in the mandible. 4. There were 33 cases (61%) of succeding teeth missing among 54 case of the rused teeth.

• 대한치과의사협회지
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• 제4권1호
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• pp.41-43
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• 1963

A rare case of a fused teeth on the side of upper left third molar was observed from a 28 years old Korean male. The characteristics were as follows: 1)The upper third molar fusrd with the suppernumerary tooth .2)The crown part of the fused teeth were separated and the root were fused. 3)On the x-ray finding. the pulp chamber was two , but it had only one pulp canal.

• 대한치과의사협회지
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• 제25권2호통권213호
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• pp.171-176
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• 1987

Fused teeth, with all its lower prevalence, produce many problems in orthodontic treatment because of their altered form, large root, and unbalance of teeth numbers between upper and lower jaws. The authors have reviewed on its etiology, differential diagnosis, prevalence, clinical features and complications. Orthodontic treatment cases of 2 sisters with malocclusion including fused teeth were presented, in which asymmetrical extractions were performed and edgewise appliances were utilized.

• 대한소아치과학회지
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• 제44권1호
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• pp.11-19
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• 2017

본 연구는 유치 융합치의 특징과 영구치열에 미치는 영향을 알아보고자 하였다. 4 - 6세 어린이 중 융합치가 관찰되는 84명의 어린이를 조사하였으며, 융합치의 분포는 상악보다 하악에서, 2개의 융합치보다 1개가 발생한 경우가 높은 비율로 관찰되었으며 우식이환율은 하악보다 상악에서 높았다. 계승 영구치의 선천적 결손은 상악 유중절치와 유측절치 융합, 하악 유측절치와 유견치 융합, 하악 유중절치와 유측절치 융합 순이었으며, 과잉치 발생은 상악 유중절치와 유측절치 융합, 하악 유중절치와 유측절치 융합, 하악 유측절치와 유견치 융합 순으로 나타났다. 유치의 융합에 의한 계승 영구치의 맹출 지연은 하악에서는 나타나지 않았으나 상악의 경우 지연 발육되는 과잉치의 발생 가능성 및 이로 인한 영구 중절치의 맹출 지연 양상이 높은 빈도로 관찰되었다. 따라서 융합치로 인한 맹출 지연의 문제를 최소화하기 위해 주기적인 방사선 검사 및 조기 치료가 필요할 것으로 사료된다.

• 대한소아치과학회지
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• 제24권4호
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• pp.795-804
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• 1997

Developmental dental morphological anomalies are fusion, gemination, twinning, concrescence and etc. They may cause many problems in conservative, periodontal and esthetic aspects. Fusion is a condition where two separate tooth buds unite at some stage in their development to form a bifid crown. If tooth contact occurs early, at least before the start of calcification, the two teeth may be completely unites to form a single large tooth. If tooth contact occurs after the time when a portion of the tooth crown has completed its formation, there may be union of the roots only. In fusion the dentin is always confluent. Fusion teeth is more common in the deciduous than in the permanent dentition. Fused teeth are relatively rare, and are mostly mandibular anterior teeth. Fusion of normal and supernumerary teeth or between normal teeth may occurs. The exact etiology factor of fusion is unknown, but genetic and environmental factors seems to be related. A variety of complications and subsequent treatments have been suggested on this teeth. Periodontal conditions may arise due to a groove formed at the line of fusion of the two teeth. Crowding or Protrusion with potential for malocclusion or delayed eruption of adjacent teeth. Fusion teeth appear in the anterior region, they usually cause esthetic problems. Treatments vary depending on the problem, the location, and the extent of fusion. Treatment of fused teeth has been reported from endodontic, orthodontic, periodontic, surgical and multidisciplinary. This report presents the esthetic improvements by separation of two clinical crowns. Bone reduction or endodontic treatments are not required.

• Restorative Dentistry and Endodontics
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• 제41권2호
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• pp.148-153
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• 2016

Tooth transposition is a disorder in which a permanent tooth develops and erupts in the normal position of another permanent tooth. Fusion and gemination are developmental disturbances presenting as the union of teeth. This article reports the nonsurgical retreatment of a very rare case of fused teeth with transposition. A patient was referred for endodontic treatment of her maxillary left first molar in the position of the first premolar, which was adjacent to it on the distobuccal side. Orthopantomography and periapical radiography showed two crowns sharing the same root, with a root canal treatment and an associated periapical lesion. Tooth fusion with transposition of a maxillary molar and a premolar was diagnosed. Nonsurgical endodontic retreatment was performed. At four yr follow-up, the tooth was asymptomatic and the radiolucency around the apical region had decreased, showing the success of our intervention. The diagnosis and treatment of fused teeth require special attention. The canal system should be carefully explored to obtain a full understanding of the anatomy, allowing it to be fully cleaned and obturated. Thermoplastic techniques were useful in obtaining hermetic obturation. A correct anatomical evaluation improves the set of treatment options under consideration, leading to a higher likelihood of esthetically and functionally successful treatment.

• 대한치과기공학회지
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• 제29권1호
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• pp.35-48
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• 2007

The purpose of this study was to evaluate shade selection using conventional visual assessment in vivo natural teeth and porcelain-fused-to-metal (PFM) crown. Maxillary central incisors, lateral incisors and canines of one hundred twenty four college women were used as vivo natural teeth. Fifty one PFM crown for maxillary central incisor fabricated by dental laboratory were used as experimental materials. Using Vitapan Classical Shade Guides, shade selection of natural teeth was measured by each college woman and shade selection of PFM crown was measured by three ceramists with more than ten years career. Both natural teeth and PFM crown shade selection were measured through Shade Eye-Ex. From the shade selection comparing, following results were obtained. The results were as follows: 1. The shade matching identification of natural teeth between the shade selection using Vitapan Classical Shade Guides and the shade selection using Shade Eye-Ex was 27.4% in maxillary central incisor, 13.7% in lateral incisor and 18.5% in canine. 2. Among the shade selection of PFM crown by three ceramists, the shade evaluation of three ceramists were same only in ten cases. In twenty case, those of two ceramists were same. 3. The shade matching identification of PFM crown between the shade selection using Vitapan Classical Shade Guides and the shade selection using Shade Eye-Ex was 38.6% in average. These results suggest that the shade selection using conventional visual assessment should be dealt with care in clinic and need a credible method for shade matching color.