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Dilaceration
Aetiology
• Trauma – mechanical trauma to calcified
portion of partially formed tooth results in the
displacement of calcified portion in
dilaceration. The portion formed after
accident is in different direction causing the
dilaceration.
• Development defect – may be form as the
developmental anomaly
Clinical features
• Most commonly found in maxillary incisors
• curve or bending occurs anywhere along the
length of root, sometimes at cervical portion
or midway along the root or even just at the
apex of the root
• Sometimes, angles are so acute that the tooth
does not erupt. If the defect is in the Crown of
an erupted tooth, the angular distortion will
be recognised
Radiographic features
• There may be inappropriate resorption of
deciduous tooth which will delay the eruption
of permanent teeth
• If the root bends mesially or distally
conditions will clearly appear on radiograph
Diagnosis
• Clinical diagnosis is not possible
• Radiological diagnosis will show curved root
Management
• Difficulty at the time of extraction
• dilacerated Crown has to be restored improve
aesthetic and function and to preclude dental
caries and periodontal disease

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9.dilaceration

  • 2. Aetiology • Trauma – mechanical trauma to calcified portion of partially formed tooth results in the displacement of calcified portion in dilaceration. The portion formed after accident is in different direction causing the dilaceration. • Development defect – may be form as the developmental anomaly
  • 3. Clinical features • Most commonly found in maxillary incisors • curve or bending occurs anywhere along the length of root, sometimes at cervical portion or midway along the root or even just at the apex of the root • Sometimes, angles are so acute that the tooth does not erupt. If the defect is in the Crown of an erupted tooth, the angular distortion will be recognised
  • 4. Radiographic features • There may be inappropriate resorption of deciduous tooth which will delay the eruption of permanent teeth • If the root bends mesially or distally conditions will clearly appear on radiograph
  • 5. Diagnosis • Clinical diagnosis is not possible • Radiological diagnosis will show curved root
  • 6. Management • Difficulty at the time of extraction • dilacerated Crown has to be restored improve aesthetic and function and to preclude dental caries and periodontal disease