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Öğe Bilateral twinned teeth and multiple supernumerary teeth: A case report(2008) Tümen E.C.; Hamamci N.; Kaya F.A.; Tümen D.S.; Çelenk S.Dental twinning can result from the fusion of the developing dental germinal elements or the gemination of a single germ. In bilateral anterior and posterior dental twinning, problems such as poor esthetics, dental caries, arch-length problems, and periodontal disease often occur as a result of the irregular morphology. Several treatment methods have been described in the literature with respect to the different types and morphologic variations of twinned teeth, including endodontic, restorative, surgical, periodontal, and orthodontic treatment. This report documents the case of a young patient with an exceedingly rare phenomenon of permanent twinned teeth and multiple supernumerary teeth in both sides of the mandibular and maxillary arches, as a result of combined fusion and gemination.Öğe Direct composite resin application, and prosthetic management in a patient with hypohidrotic ectodermal dysplasia: A case report(2009) Tümen E.C.; Hamamci N.; Deger Y.; Tumen D.S.; Agackiran E.Ectodermal dysplasia is a rare group of disorders affecting the nails, hair, teeth, and sweat glands to a variable degree. The most common form of ectodermal dysplasia is X-linked hypohidrotic ectodermal dysplasia, which affects males more severely, while heterozygous females exhibit variable severity, ranging from mild to severe, because of inactivation of the X-chromosome. The 7-year, 3-month-old boy presented the classical features of hypohidrotic ectodermal dysplasia, including diffusely sparse hair, eyelashes and eyebrows, severe hypohidrosis, and subsequent problems with thermoregulation, dry skin and fingernail defects. Considering the clinical situation, the age and potential growth of the young patient, a maxillary RPD and mandibular complete denture were determined to be the treatment of choice. HED is usually a difficult condition to manage prosthodontically, because of the typical oral deficiencies and afflicted individuals are quite young to receive extensive prosthodontic treatment, which restores their appearance, for the development of a positive self-image.Öğe Treatment of an adolescent with total ankyloglossia.(2010) Hamamci N.; Özer T.; Hamamci O.; Tümen E.C.; Ağaçkiran E.This is a report about the orthodontic treatment of a 13-year, 10-month-old boy with total ankyloglossia combined with a Class III occlusion. The patient's tongue was fixed to the floor of his mouth and could not be elevated at all. He had a maxillary deficiency and a mandibular protrusion with a negative overjet. However, he was able to retrude his mandible to an edge-to-edge position. Before orthodontic treatment, the ankyloglossia was surgically rectified. Orthodontic treatment was initiated to improve the patient's occlusion and facial appearance by correcting his retruded maxilla by means of a face mask, fixed appliances, and Class III elastics. This led to a functional occlusion and an acceptable facial appearance. © 2010 BY QUINTESSENCE PUBLISHING CO, INC.