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

Overview

Journal Case Rep Dent

Publisher Wiley

Specialty Dentistry

Date 2012 Aug 18

PMID 22900210

Citations 5

Authors

Kavitarani Rudagi

B M Rudagi

Sandeep Metgud

Rahul Wagle

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Endodontic Management of a Fused Mandibular Third Molar with Supernumerary Tooth Using Cone-Beam Computed Tomography: A Case Report.

Almutairi W, Alduraibi M Am J Case Rep. 2022; 23:e937224.

PMID: 35903030 PMC: 9344776. DOI: 10.12659/AJCR.937224.

Nonsyndromic Bilateral Posterior Maxillary Supernumerary Teeth: A Report of Two Cases and Review.

Mahto R, Dixit S, Kafle D, Agarwal A, Bornstein M, Dulal S Case Rep Dent. 2018; 2018:5014179.

PMID: 29850278 PMC: 5925185. DOI: 10.1155/2018/5014179.

Root canal treatment of a fused mandibular incisor using cone-beam computed tomography as a diagnostic aid.

Dorielo M, Gonini-Junior A, de Oliveira D, Bordignon R, Borges A J Conserv Dent. 2017; 20(1):58-61.

PMID: 28761256 PMC: 5514813. DOI: 10.4103/0972-0707.209078.

Fusion of a supernumerary tooth to right mandibular second molar: a case report and literature review.

Zhu M, Liu C, Ren S, Lin Z, Miao L, Sun W Int J Clin Exp Med. 2015; 8(8):11890-5.

PMID: 26550101 PMC: 4612786.

Evaluation of the Root and Canal Morphology of Maxillary Permanent Molars and the Incidence of the Second Mesiobuccal Root Canal in Greek Population Using Cone-beam Computed Tomography.

Nikoloudaki G, Kontogiannis T, Kerezoudis N Open Dent J. 2015; 9:267-72.

PMID: 26464594 PMC: 4598424. DOI: 10.2174/1874210601509010267.

References

Indra R, Srinivasan M, Farzana H, Karthikeyan K . Endodontic management of a fused maxillary lateral incisor with a supernumerary tooth: a case report. J Endod. 2006; 32(12):1217-9. DOI: 10.1016/j.joen.2006.03.003. View

Duncan W, Helpin M . Bilateral fusion and gemination: a literature analysis and case report. Oral Surg Oral Med Oral Pathol. 1987; 64(1):82-7. DOI: 10.1016/0030-4220(87)90121-6. View

Ghoddusi J, Zarei M, Jafarzadeh H . Endodontic treatment of a supernumerary tooth fused to a mandibular second molar: a case report. J Oral Sci. 2006; 48(1):39-41. DOI: 10.2334/josnusd.48.39. View

Rajab L, Hamdan M . Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent. 2002; 12(4):244-54. DOI: 10.1046/j.1365-263x.2002.00366.x. View

Sogur E, Baksi B, Grondahl H . Imaging of root canal fillings: a comparison of subjective image quality between limited cone-beam CT, storage phosphor and film radiography. Int Endod J. 2007; 40(3):179-85. DOI: 10.1111/j.1365-2591.2007.01204.x. View

Diederichs C, Engelke W, Richter B, Hermann K, Oestmann J . Must radiation dose for CT of the maxilla and mandible be higher than that for conventional panoramic radiography?. AJNR Am J Neuroradiol. 1996; 17(9):1758-60. PMC: 8338279. View

Tomizawa M, Shimizu A, Hayashi S, Noda T . Bilateral maxillary fused primary incisors accompanied by succedaneous supernumerary teeth: report of a case. Int J Paediatr Dent. 2002; 12(3):223-7. DOI: 10.1046/j.1365-263x.2002.00351.x. View

Brook A, WINTER G . Double teeth. A retrospective study of 'geminated' and 'fused' teeth in children. Br Dent J. 1970; 129(3):123-30. DOI: 10.1038/sj.bdj.4802533. View

Patel S, Dawood A, Pitt Ford T, Whaites E . The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J. 2007; 40(10):818-30. DOI: 10.1111/j.1365-2591.2007.01299.x. View

10.

Hulsmann M, Bahr R, Grohmann U . Hemisection and vital treatment of a fused tooth--literature review and case report. Endod Dent Traumatol. 1998; 13(6):253-8. DOI: 10.1111/j.1600-9657.1997.tb00051.x. View

11.

Buenviaje T, Rapp R . Dental anomalies in children: a clinical and radiographic survey. ASDC J Dent Child. 1984; 51(1):42-6. View

12.

Ballal S, Sachdeva G, Kandaswamy D . Endodontic management of a fused mandibular second molar and paramolar with the aid of spiral computed tomography: a case report. J Endod. 2007; 33(10):1247-51. DOI: 10.1016/j.joen.2007.06.021. View

13.

Zoetelief J, Geleijns J . Patient doses in spiral CT. Br J Radiol. 1998; 71(846):584-6. DOI: 10.1259/bjr.71.846.9849379. View

14.

Rani A K, Metgud S, Yakub S, Pai U, Toshniwal N, Bawaskar N . Endodontic and esthetic management of maxillary lateral incisor fused to a supernumerary tooth associated with a talon cusp by using spiral computed tomography as a diagnostic aid: a case report. J Endod. 2010; 36(2):345-9. DOI: 10.1016/j.joen.2009.07.014. View

15.

Nunes E, de Moraes I, de Novaes P, Sousa S . Bilateral fusion of mandibular second molars with supernumerary teeth: case report. Braz Dent J. 2002; 13(2):137-41. DOI: 10.1590/s0103-64402002000200012. View

16.

Tasa G, Lukacs J . The prevalence and expression of primary double teeth in western India. ASDC J Dent Child. 2001; 68(3):196-200. View

17.

Ludlow J, Davies-Ludlow L, Brooks S, Howerton W . Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT. Dentomaxillofac Radiol. 2006; 35(4):219-26. DOI: 10.1259/dmfr/14340323. View

18.

Yuen S, Chan J, Wei S . Double primary teeth and their relationship with the permanent successors: a radiographic study of 376 cases. Pediatr Dent. 1987; 9(1):42-8. View

19.

Hu H, He H, Foley W, Fox S . Four multidetector-row helical CT: image quality and volume coverage speed. Radiology. 2001; 215(1):55-62. DOI: 10.1148/radiology.215.1.r00ap3755. View