Siamese Tooth

Updated on March 30, 2008
S.E. asks from La Verkin, UT
9 answers

I took my 21 month old son to the Pediatric Dentist yesterday. We found out that he has a Siamese tooth (2 teeth sharing one root) and it has developed a cavity. We had noticed that they looked different coming in an we wanted them checked out. The dentist gave us a few ideas how to take care of the problem. But I was wondering if anyone else has had this experience with their child and what they did to fix it before we decide what way we want to fix it. The dentist left it up to us which way to go he really did not have a preference over them.

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S.O.

answers from Phoenix on

A friend of mine had the same issue with her daughter who is just over a year old. Her dentist old her that she could just let it be and when she loses her baby teeth she will just get a regular adult tooth in it's place.

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J.D.

answers from Santa Fe on

Just make sure you do not allow your dentist to place a mercury filling in your 21-month-old's tooth! There's a warning on the mercury filling material that says not for children under 6. Mercury is the second most toxic substance on the planet and it travels to all the tissues, organs and systems of the body, when it leaches out of the filling through the root of the tooth. It is the cause of most of our modern health ailments. The dentist may deny this because of American Dental Association propaganda, but ask him why Norway, Denmark & Sweeden banned mercury fillings?

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A.B.

answers from Phoenix on

My daughter has what the dentist calls 2 teeth fused together---you can see that there are 2 teeth but they are stuck together and have one root. Because they are baby teeth, the main thing he was concerned about was whether or not one or 2 teeth would come in underneath. When she was about 4, he could do the big x-ray, and could see that there is only one tooth underneath. This means she is congentially (sp) missing one of her lower adult front teeth. (the fused teeth were one in front and an incisor on the side)She is 8 now, and her 3 normal lower front teeth have fallen out (like they do in most kids around age 6-7) and fortunately the new 3 sit midline in her mouth whereas most kids will have 4 that sit midline. It would have been a greater concern if the 3 did not sit midline, like they were expecting a 4th tooth, because there isn't one.
My daughter still has her fused tooth, and fortunately no cavity. I would recommend that you have your son's cavity filled just like any other cavity for now, because permanent repair depends on what teeth come in later, and he's probably too young at this point to see that.
Good luck.

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J.J.

answers from Phoenix on

mysons coworker has a two year old boy that has the sme thing withhis fornt teeth. He told us that they are going to separtate the one tooth into two teethe and re form them so that they look like tow teeth. he has one root and one large tooth. i dont know how they are going to do that but i will ask and let you know

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K.J.

answers from Phoenix on

It is obviously a baby tooth and it will exfoliate like the rest-do not be too concerned. Treat the cavity and let the permenant tooth come in.

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K.M.

answers from Phoenix on

My son had this too, then the baby tooth fell out. Supposedly only one adult tooth will grow back in (According to our dentist). I am still waiting for it. :)
As for fixing the cavity, you should have that taken care of to avoid any problems with his adult teeth.
- K.

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H.M.

answers from Phoenix on

My daughter who is now seven had this. They decided to just leave it alone. The dentist did say that it might not come out on its own and would have to be pulled but luckily it did end up coming out on its own and her new tooth came in perfectly normally. Don't worry about it!

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S.C.

answers from Phoenix on

So far, two of my five have had this. I'm guessing it's genetic. Anyhow, with the yourger of the two (now 3 1/2 years old), because of the way the second tooth grew in (it was sticking out further than the rest), it broke off partially, which caused a cavity in the exposed portion. My dentist said that if he's not feeling any pain from it, just wait until it falls out in a couple of years. It may or may not grow back as two teeth.

With my older son who had this condition (now 9 years old), when his two teeth fell out, only one grew back in it's place as it normally should have been, so we are hoping the same will happen for our second son with this condition. If so, we will cross that bridge when the time comes. I am hoping number six will not have this condition, too.

Perhaps, if your son is not showing signs of pain, you should just wait, also. If not completely necessary, I didn't think it was a good idea to have my son's first real exposure to a dentist be that intense, so we decided to forego any filling procedure. I should add, though, that the extra tooth my boys had was in the front, which are the earliest to fall out, so we knew the wait would not be as long as if it were a molar. If he does begin to show signs of pain, we will reconsider, though.

I am not sure if this helps, but that's how we handled the "siamese tooth" issue. Best wishes to you! :)

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M.O.

answers from Phoenix on

Hello,

My son has a siamese or conjoined tooth, also. He also had a little cavity in the little "v-shaped" trap, which they said was extremely common with those types of teeth. I went ahead and had a fillin with that tooth. Being that my son was only 2 1/2 at the time and the fact that he was already allergic to a lot of medications out there, I was given the choice to give him the sedative medications or not. I was extremely nervous about giving it to him because of his severe allergies and also because I can't take any sedation type meds due to my reactions. So, I had decided NOT to use any sedation type medicines for my son during his cavity fillin. They told me that they will go ahead and start treatment without any medications and if he complains, then they will use the local in the mouth. If he still complains, then we would have to reschedule the next day and go ahead and use the sedation medication (the one that supposedly makes them feel "drunk" as they said). I was very nervous, I was in tears. He went ahead into the dental chair, without me, because they don't allow parents in there due to distraction and such. About ten minutes later, the dentist came out with him walking right next to her and said "He's all finished!" I couldn't believe it! He had a complete fillin without ANY sedation and without ANY local, either! They said he was as good as a five year old! So after all of that, I got all worked up for nothing and it only took ten minutes total! He's doing great now and he hasn't had an issue with "those" teeth since. So, that's my story and I hope you've gotten the advice you were looking for. Thanks!

Also, when they took x-rays of the teeth, they did see that an adult tooth was forming above it. Usually, these fused teeth do not have an adult tooth later, but each child is different and according to my son's x-rays, he just might be one of the lucky ones that has an adult tooth up there! Check the x-rays and see what the dentist says about whether your child will have an adult tooth in that position or not.

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