SOLITARY MEDIAN MAXILLARY CENTRAL INCISOR: A CASE REPORT-Soliter Median Maksiller Santral Kesici: Olgu Sunumu

Abstract

ABSTRACT
The absence of maxillary central incisor is a rare condition. One central incisor with a symmetrical crown can be seen in both deciduous and permanent dentition at the midline and it is clinically the common sign of solitary median maxillary central incisor (SMMCI). SMMCI can be seen as a isolated
dental anomaly as it can be seen with other midline defects. The prevalence of SMMCI is 1:50.000 and the etiology is unknown. In the study SMMCI as a rare
dental condition is taken into consideration for its systemic approach and treatment.

Keywords: Solitary median maxillary central incisor, tooth agenesis, central incisor

ÖZ
Üst orta kesici diş eksikliği nadir görülen bir durumdur. Kuron şekli simetri gösteren tek bir orta keser, hem süt hem de daimi dişlenme döneminde orta hatta konumlanabilir. Bu da klinik olarak soliter median maksiller santral kesici (SMMCI)’nin görülen en belirgin bulgusudur. SMMCI izole bir dental anomali olabileceği gibi çeşitli orta hat defektleri ile de görülebilir. Görülme sıklığı 1:50.000 olan SMMCI’nın kesin etyolojisi bilinmemektedir. Bu olgu sunumunda nadir rastlanan soliter median maksiller santral kesici saptandığında sistemik yaklaşım ve uygulanabilecek tedaviler açısından değerlendirilmiştir.

Anahtar kelimeler: Soliter median maksiller santral kesici, diş agenezi, orta keser

Keywords

• Solitary median maxillary central incisor, tooth agenesis, central incisor

Soliter Median Maksiller Santral Kesici: Olgu Sunumu

Abstract

Üst orta kesici diş eksikliği nadir görülen bir durumdur. Kuron şekli simetri gösteren tek bir orta keser, hem süt hem de daimi dişlenme döneminde orta hatta konumlanabilir. Bu da klinik olarak soliter median maksiller santral kesici (SMMCI)’nin görülen en belirgin bulgusudur. SMMCI izole bir dental anomali olabileceği gibi çeşitli orta hat defektleri ile de görülebilir. Görülme sıklığı 1:50.000 olan SMMCI’nın kesin etyolojisi bilinmemektedir. Bu olgu sunumunda nadir rastlanan soliter median maksiller santral kesici saptandığında sistemik yaklaşım ve uygulanabilecek tedaviler açısından değerlendirilmiştir.

Keywords

• Soliter median maksiller santral kesici, diş agenezi, orta keser

References

1. Machado E, Machado P, Grehs B, Grehs RA. Solitary median maxillary central incisor syndrome: case report. Dental Press J Orthod 2010;15(4):55
2. Garavelli L, Zanacca C, Caselli G, Banchini G, Dubourg C, David V, Odent S, Gurrieri F, Neri G. Solitary median maxillary central incisor syndrome: clinical case with a novel mutation of sonic hedgehog. Am J Med Genet A 2004;127A:93-5.
3. Shilpa G, Nuvvula S, Gokhale N, Yamini V. Concomitant solitary median maxillary central incisor and fused right mandibular incisor in primary dentition. Contemp Clin Dent 2012;3(6):203-5.
4. Hall RK. Solitary median maxillary central incisor (SMMCI) syndrome. Orphanet J Rare Dis 2006;12:1-9.
5. Utreja A, Zahid SN, Gupta R. Solitary median maxillary central incisor in association with hemifacial microsomia: a rare case report and review of literature. Contemp Clin Dent 2011;2(4):385-9.
6. El-Jaick KB, Fonseca RF, Moreira MA, Ribeiro MG, Bolognese AM, Dias SO, Pereira ET, Castilla EE, Orioli IM. Single median maxillary central incisor: new data and mutation review. Birth Defects Res A Clin Mol Teratol 2007;79(8):573-80.
7. Dutta D, Jain R, Kumar M, Thukral A, Chowdhury S, Mukhopadhyay S. Solitary median maxillary central incisor, a clinical predictor of hypoplastic anterior pituitary, ectopic neurohypophysis and growth hormone deficiency. J Pediatr Endocrinol Metab 2013;26(910):809-10.
8. Lygidakis NN, Chatzidimitriou K, Petrou N, Lygidakis NA. Solitary median maxillary central incisor syndrome (SMMCI) with congenital nasal puriform aperture stenosis: literature revies and case report with comprehensive dental treatment and 14 years followup. Eur Arch Paediatr Dent 2013;[Epub ahead of print].

9. Lertsirivorakul J, Hall RK. Solitary median maxillary central incisor syndrome occurring together with oromandibular-limb hypogenesis syndrome type 1: a case report of this previously unreported combination of syndromes. Int J Paediatr Dent 2008;18(4):306-11. Lim AT, Hung KL, Chen TH, Liao HT. Solitary median maxillary central incisor syndrome with midnasal stenosis: case report. Fu-Jen Journal of Medicine 2011;9(1):37-42.
10. Szakson K, Felszegy, Csizy I, Jozsa T, Kaposzta R, Balogh E, Olah E, Balogh I, Berenyi E, Knegt AC, Ilyes I. Endocrine and anatomical findings in a case of solitary median maxillary central incisor syndrome. Eur J Med Genet 2012;55(2):109-11.
11. Kjaer I, Becktor KB, Lisson J, Gormsen C, Russell BG. Face, palate, and craniofacial morphology in patients with a solitary median maxillary central incisor. Eur J Orthod 2001;23(1):63-73. Corresponding Author: Belde ARSAN Department of Dentomaxillofacial Radiology Faculty of Dentistry Istanbul Univesity 34093 Çapa-Fatih/İstanbul Phone:[phone] e-mail:[e-mail]