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Quintessence International



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Quintessence Int 45 (2014), No. 10     26. Sep. 2014
Quintessence Int 45 (2014), No. 10  (26.09.2014)

Page 885-889, doi:10.3290/j.qi.a32562, PubMed:25126633

An idiosyncratic post-traumatic tetrad: Compound odontome, dentigerous cyst, impaction, and double-dilaceration
Bansal, Samriti / Kaur, Harsimrit / Bansal, Ravinder Nath / Goyal, Puneet
Objective: This report describes the case of a 13-year-old patient who experienced traumatic intrusion of the primary maxillary right central incisor and subsequently suffered an atypical tetrad, comprising of an unerupted compound odontoma associated with a dentigerous cyst, and an impacted, doubly dilacerated permanent maxillary right central incisor; however, the high interconnectivity of the occurrence of four pathologies together is unusual has not previously been reported.
Summary: The pathologies were detected 7 years after trauma; surgical removal of odontome along with the dentigerous cyst was performed, followed by orthodontic extrusion of the impacted double-dilacerated permanent central incisor. The 18-month follow-up shows no pathology, no gingival recession, and normal probing depth.

Keywords: dentigerous cyst, impacted tooth, odontome, tooth intrusion, treatment