scholarly journals Endodontic Management of Mandibular Second Molar Fused to a Supernumerary Tooth, Using Spiral Computed Tomography as a Diagnostic Aid: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Kavitarani Rudagi ◽  
B. M. Rudagi ◽  
Sandeep Metgud ◽  
Rahul Wagle
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Treatment Plan ◽  
Spiral Computed Tomography ◽  
Supernumerary Tooth ◽  
Spiral Computed ◽  
Successful Management ◽  
Second Molar ◽  
Mandibular Second Molar ◽  
Root Canal Morphology

Fusion is a developmental anomaly characterized by the union of two adjacent teeth. In this paper we report a rare case of fusion involving permanent mandibular second molar with supernumerary tooth. The rarity with which this entity appears, along with its complex characteristics, often makes it difficult to treat. The use of high-end diagnostic imaging modalities such as spiral computed tomography can help the clinician in making a confirmatory diagnosis and determining the treatment plan before undertaking the actual treatment. In the present case, we have used spiral computed tomography (SCT) for better understanding the complicated root canal morphology of the fused tooth and successful management of this rare case.

scholarly journals Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid

2016 ◽  
Vol 7 (4) ◽  
pp. 199-202
Author(s):  
Deepti Dua ◽  
Ankur Dua
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Root Canal ◽  
Spiral Computed Tomography ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Supernumerary Tooth ◽  
Spiral Computed ◽  
Diagnostic Aid ◽  
Maxillary Lateral Incisor

ABSTRACT Fusion is a developmental anomaly in tooth morphology, which may be due to either union of two separate tooth buds or partial splitting of a single tooth bud. A thorough understanding of root canal anatomy is an essential prerequisite for a successful endodontic treatment. This case report describes successful endodontic management of a maxillary left lateral incisor fused with a supernumerary tooth using spiral computed tomography (SCT) as a diagnostic aid. A patient reported with a painless swelling in the maxillary anterior region associated with a fused maxillary lateral incisor. Spiral CT was performed to better understand the complex root canal anatomy. Endodontic treatment was done using methyl trioxide aggregate (MTA) as apical plug and obturation by thermoplasticized gutta-percha. The tooth was completely asymptomatic at 1-year follow-up showing signs of healing. The present case report emphasizes on the importance of three-dimensional (3D) imaging techniques, such as SCT in cases of developmental anomalies having complicated root canal morphology for successful endodontic therapy. How to cite this article Dua D, Dua A, Patil AC. Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid. World J Dent 2016;7(4):199-202.

scholarly journals Fusion or gemination? A radiologic approach

2020 ◽  
Vol 9 (6) ◽  
pp. 614-616
Author(s):  
Tamara Fernandes De Castro ◽  
Glauco Issamu Miyahara ◽  
Carla Renata Sanomiya Ikuta ◽  
Leda Maria Pescinini Salzedas
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Case ◽  
Lateral Incisor ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Second Molar ◽  
Mandibular Second Molar

A supernumerary tooth is an entity in addition to the normal series of teeth that, although rare, can be fused to a tooth, whether deciduous or permanent. Diagnosis and management in cases involving supernumerary teeth in the anterior region of the maxilla are often challenging. The clinical examination associated with the radiographic examination is decisive for the diagnosis and planning of cases. This article describes a case of unilateral fusion of a supernumerary tooth to a permanent upper lateral incisor, in which clinical and radiographic diagnosis was essential for a conservative approach. Descriptors: Diagnosis; Fused Teeth; Tooth, Supernumerary. References Rajab LD and Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent. 2002;12:244–54. Yang G. Supernumerary teeth and gemination. Br J Oral Maxillofac Surg. 2012;50:15–8.  Zhu M, Liu C, Ren S, Lin Z, Miao L, Sun W. Fusion of a supernumerary tooth to right mandibular second molar: a case report and literature review. Int J Clin Exp Med. 2015;8(8):11890-95. Rudagi K, Rudagi BM, Metgud S, Wagle R. Endodontic management of mandibular second molar fused to a supernumerary tooth, using spiral computed tomography as a diagnostic aid: a case report. Case Rep Dent. 2012;2012:614129.  Nandini DB, Deepak BS, Selvamani M, Puneeth HK. Diagnostic dilemma of a double tooth: a rare case report and review. Journal of Clinical and Diagnostic Research. 2014;8(1):271-72. Duncan WK, Helpin ML. Bilateral fusion and gemination: a literature analysis and case report. Oral Surg Oral Med Oral Pathol.1987;64(1):82-7. Gupta S, Singla S, Marwah N, Dutta S, Goel M. Synodontia between permanent maxillary lateral incisor and a supernumerary tooth: treatment J Oral Health Comm Dent. 2007;1:52-5. Mader CL (1979) Fusion of teeth. J Am Dent Assoc 98:62-4. Kumar V, Pandey V, Rohini G, Jyoti B. Fusion Between Maxillary Premolar and A Supernumerary Tooth: A Rare Case Presentation. J Clin Diagn Res. 2015;9(11): ZJ03-4. Maréchaux SC. The treatment of fusion of a maxillary central incisor and a supernumerary: report of a case. ASDC J Dent Child. 1984;51:196-99. De Siqueira VC, Braga TL, Martins MA, Raitz R, Martins MD. Dental fusion and dens evaginatus in the permanent dentition: literature review and clinical case report with conservative treatment. J Dent Child (Chic) 2004;71:69-72.  Karacay S, Guven G, Koymen R. Management of a fused central incisor in association with a macrodont lateral incisor: a case report. Pediatr Dent. 2006;28:336-40.  Cetinbas T, Halil S, Akcam MO, Sari S, Cetiner S. Hemisection of a fused tooth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104:e120-24.  Nunes E, deMoraes IG, de Novaes PM, de Sousa SM. Bilateral fusion of mandibular second molars with supernumerary teeth: case report. Brazilian Dent J. 2002;13:137-41. 

scholarly journals Endodontic Management of Two-rooted Mandibular Premolars using Spiral Computed Tomography: A Report of Two Cases

2012 ◽  
Vol 13 (6) ◽  
pp. 908-913 ◽  
Author(s):  
S Jayaprada Reddy ◽  
PV Ravi Chandra ◽  
Lakshmi Santoshi ◽  
G Vikram Reddy
Keyword(s):  
Computed Tomography ◽  
Root Canal ◽  
Rare Case ◽  
Spiral Computed Tomography ◽  
Case Description ◽  
Diagnostic Equipment ◽  
Spiral Computed ◽  
Unique Case ◽  
Root Canals ◽  
Single Root

ABSTRACT Aim To present a unique case of mandibular first and second premolars with two roots and two root canals with the aid of spiral computed tomography (SCT). Background Confirmation of morphology of mandibular first and second premolars with the aid of SCT. Case description Mandibular premolars usually have a single root and a single canal. The occurrence of two roots with two separate root canals is extremely rare. The use of SCT in this rare case greatly contributed toward making a confirmatory diagnosis and successful endodontic management. Conclusion Successful nonsurgical endodontic management of mandibular first and second premolars with two separate roots and root canals has been presented. In this case, exact root canal anatomy could not be confirmed by using radiographs alone. Hence, the use of SCT helped us in making a confirmatory diagnosis. Clinical significance Developmental anomalies can occur in any tooth and two rooted premolars are no exception. The complexity of such teeth has to be considered for planning endodontic treatment using latest diagnostic equipment to increase the chances of success. How to cite this article Reddy SJ, Chandra PVR, Santoshi L, Reddy GV. Endodontic Management of Two-rooted Mandibular Premolars using Spiral Computed Tomography: A Report of Two Cases. J Contemp Dent Pract 2012;13(6):908-913.

scholarly journals Spiral CT in Diagnosis of 4-Rooted Maxillary Second Molars Bilaterally: A Case Report

2011 ◽  
Vol 5 (2) ◽  
pp. 103-106
Author(s):  
Sumit Gupta ◽  
Sonali Taneja ◽  
Rupali Chadha
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Diagnostic Technique ◽  
Spiral Ct ◽  
Spiral Computed ◽  
Second Molar ◽  
Maxillary Molars ◽  
Root Canal Morphology ◽  
Endodontic Diagnosis ◽  
Canal Morphology

ABSTRACT Variations in the root canal morphology are common and permanent maxillary molars are no exceptions. Permanent maxillary molars generally have three roots one palatal and two buccal. The incidence of a second palatal root is quite rare. This paper highlights the endodontic diagnosis and treatment of a permanent maxillary second molar having an additional palatal root using specialized diagnostic technique-spiral computed tomography.

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