Interdisciplinary Treatment of a Fused Lower Premolar with Supernumerary Tooth

ABSTRACTThe objective of this report is to describe combined orthodontic and endodontic treatment of a fused mandibular premolar with supernumerary tooth. The patient was a 15 year old girl seeking orthodontic treatment for the correction of maxillary and mandibular crowding. Cephalometric examination revealed skeletally Class I relationship. The panoramic radiograph showed a fused tooth with two separate pulp chambers and two separate root canals connecting in apical third. After the endodontic treatment of the fused teeth, the stripping of the supernumerary tooth was performed to establish a Class I canine relationship and to correct midline deviation. At the end of the treatment, the crowding was resolved and positive overjet and overbite was achieved. (Eur J Dent 2011;5:349-353)

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Healing Of A Large Osteolytic Mandibular Lesion – A Case Report

Global Dentistry ◽

10.36879/gsl.dcr.2018.00008 ◽

2018 ◽

Author(s):

Ingrid Różyło-Kalinowskav ◽

Karolina Sidor

Keyword(s):

Case Report ◽

Female Patient ◽

Surgical Approach ◽

Orthodontic Treatment ◽

Incidental Finding ◽

Osteolytic Lesion ◽

Panoramic Radiograph ◽

Endodontic Treatment ◽

Osteolytic Lesions

The purpose of this article was to present a case report of 11–year old female patient with a large osteolytic mandibular lesion which healed after endodontic treatment. The patient was referred for radio diagnostics due to an incidental finding of a large osteolytic lesion of the area of the left lower first and second premolars in the panoramic radiograph taken before orthodontic treatment. CBCT was performed and the patient asked to have teeth 33-35 treated by endodontics before surgery. The patient missed the surgical appointment and when she reappeared several months later, the lesion showed signs of healing thus surgery were aborted. The presented case testifies to the observation that even large osteolytic lesions can heal after endodontic treatment without surgical approach.

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A Fused Maxillary Central Incisor and Its Multidisciplinary Treatment: An 18-Year Follow-Up

Case Reports in Dentistry ◽

10.1155/2014/503478 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6

Author(s):

Lluís Brunet-Llobet ◽

Jaume Miranda-Rius ◽

Eduard Lahor-Soler ◽

Abel Cahuana

Keyword(s):

Alveolar Bone ◽

Multidisciplinary Treatment ◽

Skeletal Maturation ◽

Radiographic Examination ◽

Maxillary Incisor ◽

Maxillary Central Incisor ◽

Root Canals ◽

Fused Teeth ◽

Treatment Objective ◽

Fused Tooth

Fused teeth may cause aesthetic, spacing, periodontal, eruption, and caries problems. The present case report describes a 7-year-old boy patient with a chief complaint of unerupted maxillary incisor. Radiographic examination indicated a fused tooth which had two fused roots but two independent root canals. A complex management of a fused tooth is really difficult to standardize. In this case an orthodontic, endodontic, and surgical treatment (intentional replantation) allowed the tooth to be retained until 18 years following intervention. Maintenance of the root and alveolar bone in young adults at least until full skeletal maturation should be the main treatment objective.

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Fused teeth in the primary dentition: clinical case report

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720200005120190100 ◽

2020 ◽

Vol 68 ◽

Author(s):

Amanda Carolina COSTA ◽

Bárbara Salles do NASCIMENTO ◽

Jéssica Luciana Cruz SILVA ◽

Alice Machado Carvalho SANTOS ◽

Suzana Coulaud da Costa CRUZ ◽

...

Keyword(s):

Case Report ◽

Clinical Features ◽

Orthodontic Treatment ◽

Clinical Case ◽

Pediatric Dentistry ◽

Integrated Planning ◽

Crown Root ◽

Fused Teeth ◽

Clinical Problems ◽

Fused Tooth

ABSTRACT Fused teeth are a developmental anomaly involving the union of two dental germs at the crown, root or pulp. This type of anomaly occurs during intraosseous development, resulting in a morphologically irregular tooth that can affect both the primary and permanent dentition. Clinical problems involving esthetics, a lack of space and greater susceptibility to caries are often associated with fused teeth. This type of anomaly is easily confused with dental twinning, which has similar clinical features but emerges from a single dental germ. The aim of the present study was to report a clinical case of the fusion of two deciduous mandibular incisors, describe prospects for treating this anomaly and discuss its repercussions during the development of the dentition. Extraction of the fused tooth was performed and orthodontic treatment was recommended for esthetic and functional improvements. Integrated planning involving both Pediatric Dentistry and Orthodontics provided a better treatment option.

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Endodontic Treatment of Fused Teeth with Talon Cusp

Case Reports in Dentistry ◽

10.1155/2014/738185 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Shima Sadat Miri ◽

Hakimeh Ghorbani ◽

Anousheh Rashed Mohassel

Keyword(s):

Patient Preference ◽

Chief Complaint ◽

Endodontic Treatment ◽

Central Incisor ◽

Maxillary Central Incisor ◽

Junction Site ◽

Chief Complaints ◽

Fused Teeth ◽

Rare Phenomena ◽

Fused Tooth

Tooth anomalies are rare phenomena that may be reported by patients as chief complaints or may be discovered by dentists in the oral examination. In a few cases, rare anomalies are found together in one mouth. Decision to treat such anomalies depends on whether or not they interfere with function and esthetics and also the patient's preference. In the present case, a 19-year-old male presented with two right maxillary fused central and lateral incisors and a geminated left maxillary central incisor. A talon-like projection was found at the junction site of the fused teeth. His chief complaint was sensitivity to cold at the site of the giant fused tooth. This report describes the process of diagnosis and treatment of the two anomalies according to patient preference and needs.

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Аpplying of high-frequency monopolar diathermocoagulation in the treatment of chronic pulpitis

Medical alphabet ◽

10.33667/2078-5631-2020-12-40-42 ◽

2020 ◽

Vol 1 (12) ◽

pp. 40-42

Author(s):

F. Yu. Daurova ◽

D. I. Tomaeva ◽

S. V. Podkopaeva ◽

Yu. A. Taptun

Keyword(s):

Root Canal ◽

High Frequency ◽

Antibacterial Effect ◽

Comparison Group ◽

Poor Quality ◽

Endodontic Treatment ◽

Root Canals ◽

The Third ◽

Before And After

Relevance: the reason for the development of complications in endodontic treatment is poor-quality instrumental treatment root canals.Aims: a study of the animicrobial action and clinical efficacy of high-frequency monopolar diathermocoagulation in the treatment of chronic forms of pulpitis.Materials and methods: 102 patients with various chronic forms of pulpitis were divided into three groups of 34 patients each. In the first two groups, high-frequency monopolar diathermocoagulation was used in endodontic treatment in different modes. In the third group, endodontic treatment was carried out without the use of diathermocoagulation (comparison group). The root canal microflora in chronic pulpitis in vivo was studied twice-before and after diathermocoagulation.Results: it was established that high-frequency monopolar diathermocoagulation in the effect mode is 3, power is 4 (4.1 W) and effect is 4, power is 4 (5.4 W) with an exposure time of 3 seconds, it has a pronounced antibacterial effect on all presented pathogenic microflora obtained from the root canals of the teeth.

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Orthodontic treatment and masticatory muscle exercises to correct a Class I open bite in an adult patient

American Journal of Orthodontics and Dentofacial Orthopedics ◽

10.1016/s0889-5406(03)00308-1 ◽

2003 ◽

Vol 124 (1) ◽

pp. 91-98 ◽

Cited By ~ 12

Author(s):

Carrie A Lindsey ◽

Jeryl D English

Keyword(s):

Adult Patient ◽

Orthodontic Treatment ◽

Open Bite ◽

Class I ◽

Masticatory Muscle

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The prevalence and management of patients with hypodontia: A cross -sectional study

Journal of Orthodontics ◽

10.1177/14653125211065457 ◽

2021 ◽

pp. 146531252110654

Author(s):

Nusaybah Elsherif ◽

Jose Rodriguez ◽

Farooq Ahmed

Keyword(s):

Orthodontic Treatment ◽

Negative Impact ◽

Cross Sectional Study ◽

Class I ◽

Class Iii ◽

Dental Anomalies ◽

Missing Teeth ◽

Cross Sectional ◽

Related Quality ◽

Pre Treatment

Background: Hypodontia is one of the most common anomalies in dentistry. Hypodontia has a negative impact on oral health-related quality of life with patients best seen in a multidisciplinary clinic to improve treatment outcomes. Aim: To investigate the prevalence of hypodontia and its association with other dental anomalies, as well as malocclusion, and to investigate the treatment planned for patients attending the clinic and whether the type of missing teeth affected the proposed treatment. Materials and Methods: Analysis of consecutive patients attending the hypodontia clinic at a dental hospital between February and November 2020. A total of 100 patients who met the inclusion criteria were identified. Data collected included the following: age/sex; number and type of missing teeth; pre-treatment occlusion; presence of other dental anomalies; and planned treatment. Results: A total of 100 patients (55% female; age range = 7–41 years; mean age = 18 years) were included. Of the cohort, 47% had a class I skeletal relationship and participants were significantly less likely to have a class III skeletal or incisor relationship; 45% had another dental anomaly with the most common being microdontia. Space opening was the preferred treatment option for those managed by orthodontic treatment with resin-bonded bridges most likely to be used for restoration of spaces, 86%. Conclusion: Lower second premolars were the most commonly missing teeth. Participants were significantly less likely to have a class III incisor or skeletal relationship than class I or II. Space opening was the favoured approach for orthodontic treatment, particularly for maxillary lateral incisors.

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Prevalence of Cross Bite Among the Orthodontic Patients in Bangabandhu Sheikh Mujib Medical University

Bangladesh Journal of Medicine ◽

10.3329/bjmed.v26i1.25647 ◽

2015 ◽

Vol 26 (1) ◽

pp. 9-12

Author(s):

Naznin Sultana ◽

Gazi Shamim Hassan ◽

Digamber Jha ◽

Towhida Nashrin ◽

Lutfun Nahar ◽

...

Keyword(s):

Orthodontic Treatment ◽

Class I ◽

Dental Arch ◽

Diagnostic Model ◽

Class Iii ◽

Posterior Crossbite ◽

Orthodontic Patients ◽

Medical University ◽

Functional Components ◽

Congenitally Missing

Crossbite is one of the most prevalent malocclusion, posterior crossbite occurs in 8% to 22% of orthodontic cases and anterior crossbite has been seen in Class III cases, which accounts for 3.4% of orthodontic cases. The etiology of posterior crossbite can include any combination of dental, skeletal, and neuro muscular functional components, but the most frequent cause is reduction in width of the maxillary dental arch. Patients/cases seeking comprehensive orthodontic treatment in between 5 to 35 years were diagnosed for crossbite with diagnostic model and care record file. Out of 300 cases 163(54.3%) had crossbite, 90(30%) had anterior crossbite and 109(36.3%) had posterior cross bite. Among posterior crossbite 60(20%) had unilateral and 49(16.3%) had bilateral crossbite. Posterior crossbite was more prevalent than anterior crossbite. Cases with Class I molar relation showed more crossbite. Crossbite was more prevalent in cases with congenitally missing teeth.Bangladesh J Medicine Jan 2015; 26 (1) : 9-12

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The ability of Reciproc instruments to reach full working length without glide path preparation: a clinical retrospective study

PeerJ ◽

10.7717/peerj.3583 ◽

2017 ◽

Vol 5 ◽

pp. e3583 ◽

Cited By ~ 9

Author(s):

Andreas Bartols ◽

Bernt-Peter Robra ◽

Winfried Walther

Keyword(s):

Retrospective Study ◽

Root Canal ◽

Primary Root ◽

Primary Treatment ◽

Endodontic Treatment ◽

Binary Logistic Regression Model ◽

Root Canals ◽

Maxillary Molars ◽

Glide Path ◽

Working Length

Background Reciproc instruments are the only contemporary root canal instruments where glide path preparation is no longer strictly demanded by the manufacturer. As the complete preparation of root canals is associated with success in endodontic treatment we wanted to assess the ability and find predictors for Reciproc instruments to reach full working length (RFWL) in root canals of maxillary molars in primary root canal treatment (1°RCTx) and retreatment (2°RCTx) cases. Methods This retrospective study evaluated 255 endodontic treatment cases of maxillary molars. 180 were 1°RCTx and 75 2°RCTx. All root canals were prepared with Reciproc instruments. The groups were compared and in a binary logistic regression model predictors for RFWL were evaluated. Results A total of 926 root canals were treated with Reciproc without glide path preparation. This was possible in 885 canals (95.6%). In 1°RCTx cases 625 of 649 (96.3%) canals were RFWL and in 2°RCTx cases 260 of 277 (93.9%). In second and third mesiobuccal canals (MB2/3) 90 out of 101 (89.1%) were RFWL with Reciproc in 1°RCTx and in the 2°RCTx treatment group 49 out of 51 cases (96.1%). In mesio-buccal (MB1) canals “2°RCTx” was identified as negative predictor for RFWL (OR 0.24 (CI [0.08–0.77])). In MB2/3 canals full working length was reached less often (OR 0.04 (CI [0.01–0.31])) if the tooth was constricted and more often if MB2/3 and MB1 canals were convergent (OR 4.60 (CI [1.07–19.61])). Discussion Using Reciproc instruments, the vast majority of root canals in primary treatment and retreatment cases can be prepared without glide path preparation.

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