The primary maxillary central incisor in the Solitary Median Maxillary Central Incisor syndrome

Authors:

ABSTRACT

Aim

Solitary Median Maxillary Central Incisor (SMMCI) is a developmental anomaly in the permanent dentition
with one single central incisor in the maxilla, positioned exactly in the midline. This condition has been associated with
extra- and intraoral malformations in the frontonasal segment of the cranium and face. It is not known whether the centrally
located permanent incisor is always preceded by a centrally located primary incisor. The aim was to analyse whether a
permanent single central incisor in SMMCI is always preceded by a primary single central incisor and to study extra- and
intraoral phenotypic traits of the condition.

Methods

Study design: cross-sectional radiographic study
of 11 children, visual analysis of photos and dental and panoramic radiographs.

Results

Nine of the 11 cases exhibited a
primary SMMCI with one symmetrical crown and root. Two cases exhibited two separate primary central incisor crowns with
fused roots. The phenotypical traits (indistinct philtrum, lack of normal upper lip contour, missing superior labial frenulum
and distinct mid-palatal ridge) were findings observed in young children with a primary SMMCI.

Conclusion

The present
study concludes and stresses the necessity of diagnosing of the SMMCI condition early in life. Furthermore, paediatric
dentists are recommended to be aware of the condition and to refer these patients to interdisciplinary diagnostics and
treatment.

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