Published June 1, 2009
| Version v1
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An Alternative Treatment Approach for a Supernumerary Tooth Fused to a Mandibular Second Molar: A Case Report
Creators
- 1. Department of Conservative Dentistry & Endodontics, People's Dental Academy, People's Campus Bhanpur, Bhopal-462037 (M.P.)
Description
Since abnormal tooth morphology can predispose to caries and periodontal disease, careful management of fused
teeth is essential. This paper reports a rare case of a fused molar and supernumerary tooth and describes its management.
Caries was removed from the tooth under local anesthesia. The pulp chamber of the supernumerary tooth was exposed and the
root canal of the supernumerary tooth was prepared using the step back technique and copious irrigation with H2O2
. Obturation
using the lateral condensation technique with gutta-percha and AH26 sealer was subsequently performed and final restoration
was accomplished with composite resin.
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Additional details
References
- 1. Delany GM, Goldblatt LI : Fused teeth: a multi- disciplinary approach to treatment. Jounal of American Dental Association,1981; 103(5), 732-734. 2. Hulsmann M, Bahr R, Grohmann U: Hemi- section and vital treatment of a fused tooth - literature review and case report. Endodontic Dental Traumatology, 1995; 13(6): 253-258.
- 3. Nunes E, de Moraes IG, de Novaes PM, de Sousa SM :Bilateral fusion of mandibular second molars with supernumerary teeth: case report. Brazilian Dental Journal, 2002;13:137-141. 4. Pereira AJA, Fidel RAS, Fidel SR: Maxillary lateral incisor with two root canals: fusion, gemination or dens invaginatus? Brazilian Dental Journal, 2000; 11(2):141- 146. 5. Rajendran R: Developmental Disturabence of Oral and Paranasal structures. In: A Shafer's Textbook of Oral Pathology. R Rajendran, B Sivapathasundharam, Eds.; 5 TH Edn.; Reed Elsevier India Private Limited, New Delhi, 2006;pp:64-67. 6. Turell IL, Zmener O: Endodontic therapy in a fused mandibular molar. Journal of Endodontics, 1999; 25(3):208-209.