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

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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Interdisciplinary Treatment of a Fused Lower Premolar with Supernumerary Tooth

European Journal of Dentistry ◽

10.1055/s-0039-1698904 ◽

2011 ◽

Vol 05 (03) ◽

pp. 349-353 ◽

Cited By ~ 2

Author(s):

Cengiz Gadimli ◽

Zafer Sari

Keyword(s):

Orthodontic Treatment ◽

Panoramic Radiograph ◽

Endodontic Treatment ◽

Class I ◽

Interdisciplinary Treatment ◽

Supernumerary Tooth ◽

Root Canals ◽

Fused Teeth ◽

Lower Premolar ◽

Fused 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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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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Multidisciplinary Treatment Approach to Restore Deep Horizontally Fractured Maxillary Central Incisor

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1498 ◽

2014 ◽

Vol 15 (1) ◽

pp. 112-115 ◽

Cited By ~ 4

Author(s):

Smita P Nimbalkar-Patil ◽

Aamod B Karandikar

Keyword(s):

Alveolar Bone ◽

Treatment Approach ◽

Multidisciplinary Treatment ◽

Treatment Modalities ◽

Surgical Removal ◽

Central Incisor ◽

Maxillary Central Incisor ◽

Tooth Structure ◽

Biologic Width ◽

Forced Eruption

ABSTRACT This case report demonstrates sequential Periodontic, Orthodontic and Prosthodontic treatment modalities to save and restore deep horizontally fractured maxillary central incisor. The location of fracture was deep in the mucosa which reveals less than 2 mm of tooth structure to receive the crown. The procedures like surgical crown lengthening, endodontic post placement, orthodontic forced eruption, core build-up and metal-ceramic crown restoration were sequentially performed to conserve the fractured tooth. Forced eruption is preferred to surgical removal of supporting alveolar bone, since forced eruption preserves the biologic width, maintains esthetics, and at the same time exposes sound tooth structure for the placement of restorative margins. How to cite this article Patil PG, Nimbalkar-Patil SP, Karandikar AB. Multidisciplinary Treatment Approach to Restore Deep Horizontally Fractured Maxillary Central Incisor. J Contemp Dent Pract 2014;15(1):112-115.

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Multidisciplinary Approach for the Treatment of Horizontal Root-Fractured Maxillary Anterior Teeth

Case Reports in Dentistry ◽

10.1155/2014/472759 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 5

Author(s):

Berkan Celikten ◽

Ceren Feriha Uzuntas ◽

Reza Safaralizadeh ◽

Gulbike Demirel ◽

Semra Sevimay

Keyword(s):

Radiographic Examination ◽

Maxillary Incisor ◽

Central Incisor ◽

Long Term Outcome ◽

Root Fracture ◽

Maxillary Central Incisor ◽

Anterior Teeth ◽

Wide Range ◽

Root Fractures ◽

The Right

Dental trauma can lead to a wide range of injuries of which crown and root fractures are examples. Crown-root fractures often need complex treatment planning. This case report describes the use of MTA in the multidisciplinary management of a patient with a horizontally fractured central incisor and luxation in a different central incisor. A 42-year-old female patient presented within 1 h of receiving direct trauma to her maxillary area. Clinical examination revealed that the right and left maxillary central incisors presented mobility and sensitivity to percussion and palpation but no sensitivity to thermal stimulations. Occlusal displacement with extrusion in the left maxillary central incisor and luxation in the right maxillary central incisor was observed. Radiographic examination revealed horizontal root fracture at the apical third of the left maxillary central incisor. Root fracture in the right maxillary incisor was not observed. Endodontic and aesthetic restorative treatments were completed. MTA showed a good long-term outcome when used in root-fractured and luxated teeth. In addition, composite resin restoration provided satisfactory aesthetic results even after 15 months.

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Mind the Gap: Alveolar Bone Graft Revision in the Era of Computed Tomography

The Cleft Palate-Craniofacial Journal ◽

10.1177/10556656211002689 ◽

2021 ◽

pp. 105566562110026

Author(s):

Ema Zubovic ◽

Gary B. Skolnick ◽

Abdullah M. Said ◽

Richard J. Nissen ◽

Alison K. Snyder-Warwick ◽

...

Keyword(s):

Computed Tomography ◽

Bone Grafting ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Alveolar Bone ◽

Tertiary Care ◽

Radiographic Examination ◽

Graft Take ◽

Alveolar Bone Grafting ◽

Ct Evaluation

Objective: To determine the rate of revision alveolar bone grafting (ABG) in patients with cleft lip and palate (CLP) before and after the introduction of postoperative computed tomography (CT). Design: Retrospective case–control study analyzing the incidence of revision ABG in patients with and without postoperative CT scans for graft success evaluation. Setting: Academic tertiary care pediatric hospital. Patients: Eighty-seven patients with CLP or cleft lip and alveolus treated with autologous iliac crest bone grafting for alveolar clefts over a 10-year period (January 2009 to March 2019) with minimum 6-month follow-up. Fifty patients had postoperative CT evaluation; 37 did not. Interventions: Postoperative CT to determine ABG success, versus standard clinical examination and 2-dimensional radiographs. Main Outcome Measures: Requirement for revision ABG, defined as failure of the original graft by clinical or radiographic examination. Results: Fifty-eight percent of patients underwent a postoperative CT scan at median interval of 10 months after surgery. Patients with postoperative CT evaluation had a 44% rate of revision ABG (22/50) for inadequate graft take, compared to 5% (2/37) in patients without postoperative CT ( P < .001; 95% CT, 31%-58% in the CT group, 1%-16% in the non-CT group). Conclusions: Computed tomography evaluation after ABG is associated with a significantly increased revision rate for inadequate graft take. The presence of a secondary palatal fistula at the time of original ABG is not associated with revision requirement. Lack of standardized dental and orthodontic records complicates the study of ABG outcomes and presents an area for systems-based improvement.

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Particulate bioglass in the regeneration of alveolar bone in dogs: clinical, surgical and radiographic evaluations

Revista CERES ◽

10.1590/s0034-737x2011000200003 ◽

2011 ◽

Vol 58 (2) ◽

pp. 149-154

Author(s):

Alexandre Couto Tsiomis ◽

Andréa Pacheco Batista Borges ◽

Ana Paula Falci Daibert ◽

Tatiana Schmitz Duarte ◽

Emily Correna Carlo Reis ◽

...

Keyword(s):

Wound Healing ◽

Bone Substitute ◽

Alveolar Bone ◽

Gradual Increase ◽

Treated Group ◽

Radiographic Examination ◽

Control Group ◽

X Rays ◽

Clinical Evaluations ◽

Radiological Analysis

Bone loss, either by trauma or other diseases, generates an increasing need for substitutes of this tissue. This study evaluated Bioglass as a bone substitute in the regeneration of the alveolar bone in mandibles of dogs by clinical, surgical and radiological analysis. Twenty-eight adult dogs were randomly separated into two equal groups. In each animal, a bone defect was created on the vestibular surface of the alveolar bone between the roots of the fourth right premolar tooth. In the treated group, the defect was immediately filled with bioglass, while in the control, it remained unfilled. Clinical evaluations were performed daily for a week, as well as x-rays immediately after surgery and at 8, 14, 21, 42, 60, 90 and 120 days post-operative. Most animals in both groups showed no signs of inflammation and wound healing was similar. Radiographic examination revealed a gradual increase of radiopacity in the region of the defect in the control group. In the treated group, initial radiopacity was higher than that of adjacent bone, decreasing until 21 days after surgery. Then it gradually increased until 120 days after surgery, when the defect became undetectable. The results showed that Bioglass integrates into bone tissue, is biocompatible and reduced the period for complete bone regeneration.

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AUTOTRANSPLANTASI GIGI-GIGI IMPAKSI INSISIVUS MAKSILA KANAN DISERTAI KISTA DENTIGEROUS DENGAN PENAMBAHAN GRAFT KOLAGEN KARBONAT APATIT

ODONTO Dental Journal ◽

10.30659/odj.5.1.9-17 ◽

2018 ◽

Vol 5 (1) ◽

pp. 9

Author(s):

Indah Wulansari ◽

Maria Goreti Widiastuti ◽

Prihartiningsih Prihartiningsih

Keyword(s):

Alveolar Bone ◽

Dentigerous Cyst ◽

Apical Part ◽

Maxillary Incisor ◽

Carbonate Apatite ◽

Horizontal Position ◽

Surgery Patient ◽

Dentigerous Cysts ◽

Collagen Graft

Background: Autotransplantation is a surgical movement to reposition teeththat have been erupted, partially erupted or not yet erupted from one place to another in the same individual, either on post-extraction sockets or artifcial sockets made by surgery. Dental folicle from impacted teeth may develope dentigerous cysts that will result in destruction of the jaw bone. There are many factors that inﬂuence the success of autotransplantation, one of which is adequate bone support.The purpose of this poster is to present the successful autotransplantation treatment of impacted right maxillary incisor teeth associated with dentigerous cyst and bone support replacement after cyst enucleation using a carbonate apatite collagen graft, GAMACHA®, at RSUP Dr. Sardjito.Case management: A 9-year-old girl, referred to the Oral and MaxillofacialSurgery Department of RSUP Dr. Sardjito with the complaint of right deciduous maxillary incisor persistence. Radiological examination showing persistent of 51 and 52 radices and impaction of teeth 11 and 12 in a horizontal position above radix 53. Also visible radiolucent image with a frm limit around the crown of 11 that supports the image of cyst. This patient performed cyst enucleation under general anesthesia, removal of impacted 11 and 21, followed by an artifcial socket drilling at the alveolar bone that could support all aspects of the root wall although only on the apical part of the tooth root for teeth 11 and 12 placement. Autotransplantation of teeth11 and 12 followed by the application of GAMACHA® and wire fxation, strengthen with acrylic splint.Conclusion: Two years follow up after surgery, patient have no complaintseither from aesthetic or functional and the result of clinical and radiologicalexamination did not found existence of any pathological abnormalities around teeth 11 and 12.

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Study of Internal Morphology of Root-Canal Treated Single-Rooted Mandibular Second Molars in a Greek Population

Balkan Journal of Dental Medicine ◽

10.2478/bjdm-2018-0025 ◽

2018 ◽

Vol 22 (3) ◽

pp. 146-149

Author(s):

Maria-Elpida Kalaitzoglou ◽

Charalampos Beltes ◽

Eleni Kantilieraki ◽

Panagiotis Beltes

Keyword(s):

Root Canal ◽

Greek Population ◽

Radiographic Examination ◽

Type I ◽

Root Canals ◽

Single Root ◽

Type Iv ◽

Dental Clinics ◽

Internal Morphology ◽

Clinical Records

SummaryBackground/Aim: To determine the prevalence of single-rooted mandibular second molars in a Greek population and examine their internal morphology with the aid of intraoral periapical radiography.Material and Methods: Clinical records of 531 root-canal treated permanent single-rooted mandibular second molars were collected from the Postgraduate Clinic of the Department of Endodontology, Dental School, Aristotle University of Thessaloniki, Greece and from private dental clinics in the same city. The clinical records, along with the radiographic examination, were evaluated to determine the overall frequency of single-rooted mandibular second molars together with the number of root canals and their course. The root canals were categorized using Vertucci’s classification with the addition of 3 further types where appropriate.Results: Out of 531 mandibular second molars; 102 (19.2%) presented a single root; 427 (80.4%) presented two roots; 2 (0.4%) presented three roots. In a total of 102 single-rooted mandibular second molars 31 (30.3%) presented with Type I, 18 (17.6%) with Type II, 14 (13.7%) with Type IV, 7 (7%) with 3 additional root canal types and 32 (31.4%) with a C-shaped root canal system.Conclusions: One out five mandibular second molars was single-rooted in a Greek population. The internal morphology of these teeth can be very complex with regard to the numbers and courses of root canals.

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Endodontic Treatment of a Maxillary Central Incisor with Two Roots

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1325 ◽

2013 ◽

Vol 14 (2) ◽

pp. 345-347 ◽

Cited By ~ 1

Author(s):

Hamid Jafarzadeh ◽

Amir Maghsoudlou ◽

Maryam Forghani

Keyword(s):

Root Canal ◽

Healing Process ◽

Endodontic Treatment ◽

Clinical Report ◽

Central Incisor ◽

Root Canal Therapy ◽

Maxillary Central Incisor ◽

Root Canals ◽

Dental Anatomy ◽

Root Canal Morphology

ABSTRACT Aim This clinical report presents a rare case of maxillary central incisor with two separate roots. Background Unusual morphology of the roots and root canals may exist in any tooth. Recognition of the dental anatomy and its variations is necessary for successful endodontic therapy. It is well known that maxillary incisors are usually single-rooted teeth. Case report The root canals were instrumented with conventional hand files and Gates Glidden and obturated by using the lateral technique. Recall radiograph after 1 year shows the healing process of the preoperative apical periodontitis. Conclusion and clinical significance Clinicians should be aware of unexpected root canal morphology when performing root canal therapy. The present case demonstrated the importance of accurate preoperative radiograph and adequate access preparation. How to cite this article Maghsoudlou A, Jafarzadeh H, Forghani M. Endodontic Treatment of a Maxillary Central Incisor with Two Roots. J Contemp Dent Pract 2013;14(2):345-347.

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