# Unveiling the Impact of Maternal Hyperthermia in the Late First Trimester: A Case Report of Anterior Esthetic Rehabilitation Utilizing Heterodontic Biologic Posts

## TL;DR

This case report discusses the use of biologic posts for dental rehabilitation in a patient with a history of maternal fever and congenital conditions.

## Contribution

The novelty lies in the successful application of autologous heterodontic biologic posts for anterior esthetic rehabilitation.

## Key findings

- The patient showed favorable outcomes after using supernumerary teeth as biologic posts.
- The procedure involved root canal treatment and extraction of supernumerary teeth for post placement.
- A 12-month follow-up confirmed the success of the esthetic rehabilitation.

## Abstract

The perinatal maternal environment is important for the normal development of the fetus. Epigenetic modifications that influence developmental control genes and signalling pathways for proper fetal development have been associated with maternal illnesses brought on by viruses, bacteria, or even parasitic protozoa. It is crucial to provide details on the onset, length, and timing of the mother's fever because these factors may influence the kind of certain abnormalities. Although fever is a primarily benign disease, it has been linked to negative health outcomes in children and has occasionally resulted in a substantial referral to critical care. This case report presents a 15-year-old female patient with repaired cleft palate and tetralogy of Fallot (TOF) who approached for esthetic rehabilitation of lower anterior teeth. The teeth (31, 32, 43) were tender on percussion. Radiographic evaluation showed the presence of periapical radiolucency. The root canal procedure was performed under local anaesthesia, and the supernumerary maxillary teeth were extracted. After cleaning and disinfecting, these teeth were used as biologic posts with respect to 32 and 33. A follow-up examination was performed after 12 months. The results of this case indicate that using autologous heterodontic biologic posts can lead to a favourable outcome.