R.YU. ILYINA¹, E.V. URAKOVА¹, R.V. LEKSIN²

¹Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan

²Republic Clinical Hospital, Kazan

Contact details:

Ilyina R.Yu. — PhD (medicine), Associate Professor of the Department of Maxillofacial Surgery and Surgical Dentistry

Address: 36 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7-917-255-43-87, e-mail: ilroza@yandex.ru

The article presents the results of a clinical observation of patient M. with an abnormal tooth structure and shape in the frontal maxilla. Teething was accompanied by an atypical suppurative process similar to a follicular cyst. Congenital pathologies of the maxillofacial area often include abnormalities in the shape and number of teeth. The main types of abnormal tooth shape are: spiky teeth, the crowns of which are tenon-shaped or conical in shape; Fournier teeth, when the permanent teeth, namely the lower and upper molars, have the shape of a cone; Pfluger teeth — underdeveloped teeth, the size of the neck of which is larger than the size of the gums. Taurodontism («bovine» teeth) is a violation of the teeth shape, which is more often observed in permanent molars, when the tooth body and pulp cavity increase vertically at the expense of the roots. As a result, the pulp cavity and the furcation of the tooth move apically down the root.

Patient M. underwent surgical tooth extraction with further replacement of a bone defect with a PRP technique. A differentiated approach is recommended in the treatment of anomalies of difficult teething, taking into account the further restoration of defects by orthopedic methods.

Key words: taurodontism, tooth shape abnormalities, PRP method.

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