Management of 'double teeth' in children and adolescents.

Abstract:

BACKGROUND:Abnormally, large teeth are often referred to as 'double teeth'. These can pose numerous challenges for the clinician. There is no published protocol on the management of double teeth. AIM:To review the published literature and also patients managed at the Eastman Dental Hospital (EDH) and to develop a clinical protocol for the management of double teeth in children and adolescents. DESIGN:Literature was searched (Medline and Embase) and data collated. Patient notes of cases managed at the EDH were reviewed. RESULTS:Eighty-one teeth from 53 papers and 22 patients were included in the review. Success criteria were only reported in 32 papers and were variable. Twenty-three papers had no follow-up period. The main factor in determining the management of a double tooth was root and root canal system morphology. The treatment of choice in teeth with separate roots was hemisection and in those with a single root was crown modification or extraction. CONCLUSION:It was not possible to determine the best management strategies because of the variable reporting in the literature. The authors have proposed a protocol for management and a data collection sheet for essential information needed when reporting on double teeth cases.

journal_name

Int J Paediatr Dent

authors

Shah P,Chander JM,Noar J,Ashley PF

doi

10.1111/j.1365-263X.2011.01209.x

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

419-26

issue

6

eissn

0960-7439

issn

1365-263X

journal_volume

22

pub_type

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