Are there canines that looks like this

[Akam ahz]

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Hello,
I met that person early this month, and we have hanged up a few times together till now.

But there was something that attracted my attention, it was the shape of her upper right canine, it looks like this

She has a peg-shaped lateral incisor, but the canine next to that lateral incisor doesn't sound normal.

Is it a common anomaly? Because I haven't seen it before nor we studied it in the oral anatomy course.

And what is the name of this case? Also, what is the measurement taken in it? Is there a probability it is a retaining milky tooth (she is 20 though)?

I am a second year dental student, so excuse me if my question is trivial.

But I am really curious to know.

Thanks in advance!

 

[deleted678432]

Hey I just met you, and this is crazy, but you have cool teeth, so picture maybe?

 

[Akam ahz]

Hey I just met you, and this is crazy, but you have cool teeth, so picture maybe?

You want the picture?

 

[2TH MVR]

Maybe a primary Cuspid?

 

[Akam ahz]

Maybe a primary Cuspid?

Then its root didn't undergo resorption? Does that mean that the permanent cuspid didn't develop at all or it is developed but didn't erupt? Is the latter possible?

 

[2TH MVR]

Then its root didn't undergo resorption? Does that mean that the permanent cuspid didn't develop at all or it is developed but didn't erupt? Is the latter possible?

more likely an impacted Cuspid.

 

[charlestweed]

I think the patient doesn't have #7 (congenitally missing). Tooth #6 erupted into the #7's position....and the primary canine's root never got resorbed.

 

[Akam ahz]

I think the patient doesn't have #7 (congenitally missing). Tooth #6 erupted into the #7's position....and the primary canine's root never got resorbed.

So she has both milky and permanent canines at the positions #6 and #7 respectively?

Okay, that sounds acceptable, but I was thinking that perhaps she has both permanent lateral incisor and canine, but they exchanged positions, is that possible?

 

[jda02624]

So she has both milky and permanent canines at the positions #6 and #7 respectively?

Okay, that sounds acceptable, but I was thinking that perhaps she has both permanent lateral incisor and canine, but they exchanged positions, is that possible?

Transposition is possible, but I don't think that's the case here. The canine looks like a primary (#C) and the lateral looks like it may be tipped (crown is distally-tipped) possibly due to the permanent canine affecting the lateral root. All this is easily solved with a radiograph...

 

[charlestweed]

So she has both milky and permanent canines at the positions #6 and #7 respectively?

Okay, that sounds acceptable, but I was thinking that perhaps she has both permanent lateral incisor and canine, but they exchanged positions, is that possible?

The second possibility that you mentioned is called transposition. It’s possible but not as common as what I’ve seen in my orthodontic practice. The first possibility is more common. Most of the patients are adults (like your friend), who came in t to see me with either a loose or broken down tooth because the deciduous canine’s root and enamel are so short and thin, respectively. They were worried because they knew that the tooth would need extraction and they didn’t want to walk around with an empty space. I usually extracted the deciduous canine, closed the extracted space by moving the 1st and 2nd premolars mesially with braces, and created a space for an extra premolar implant tooth between the 1st molar and the 2nd premolar. It’s much easier to place an implant in the posterior region because the placement of the implant and the esthetics are not as crucial as in the anterior area.

For your friend’s case, one way to find out is to take an xray (preferably a panoramic image). If the root of that tooth is extremely slim and short, it must be a deciduous canine.

 

[Akam ahz]

The canine looks like a primary (#C) and the lateral looks like it may be tipped (crown is distally-tipped) possibly due to the permanent canine affecting the lateral root.

Wow! That is enormously interesting to know about.

Reading and thinking of all these possibilities made me even more curious to know what those two teeth really are.

I think I will try to persuade her to do an x-ray and figure out the truth.

 

[Akam ahz]

Hello, I got a panorama x-ray image of the above condition

What is the best dental procedure that you recommend to take in this condition to improve the appearance of the teeth.

N.B. She has missing lateral incisors with retaining upper right C and upper left B.

 

[BluntForceTrauma]

What is the best dental procedure that you recommend to take in this condition to improve the appearance of the teeth.
.

Having her follow up with her dentist is the best procedure.

SDN is not a place for medical advice.

@schmoob

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[2TH MVR]

Having her follow up with her ORTHODONTIST is the best procedure.

SDN is not a place for medical advice.

@schmoob


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FIFY.

 

[schmoob]

This is not a place for medical advice, or homework help.

 

[BluntForceTrauma]

FIFY.

Lawl

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[Akam ahz]

Having her follow up with her dentist is the best procedure.

The orthodontist suggested extracting the milky teeth and moving the canines and premolars to close the space.

Then, the orthodontist suggested modification of the shape of canines to make them look like laterals, while the first premolars would be modified to look like canines.

I am not here to ask about advice or solve my homework. I am just excited about the case and want to know more ideas about what could be done in regard to the case.

 

[2TH MVR]

The orthodontist suggested extracting the milky teeth and moving the canines and premolars to close the space.

Then, the orthodontist suggested modification of the shape of canines to make them look like laterals, while the first premolars would be modified to look like canines.

I am not here to ask about advice or solve my homework. I am just excited about the case and want to know more ideas about what could be done in regard to the case.

@schmoob is going to get mad. 😉