Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Oct 26;43(4):e44.
doi: 10.5395/rde.2018.43.e44. eCollection 2018 Nov.

Endodontic management of central incisor associated with large periapical lesion and fused supernumerary root: a conservative approach

Gautam P Badole  1 , Pratima R Shenoi  1 , Ameya Parlikar  2
Affiliations
Case Reports

Endodontic management of central incisor associated with large periapical lesion and fused supernumerary root: a conservative approach

Gautam P Badole et al. Restor Dent Endod. .

Abstract

Fusion and gemination are developmental anomalies of teeth that may require endodontic treatment. Fusion may cause various clinical problems related to esthetics, tooth spacing, and other periodontal complications. Additional diagnostic tools are required for the diagnosis and the treatment planning of fused tooth. The present case report describes a case of unilateral fusion of a supernumerary root to an upper permanent central incisor with large periapical lesion in which a conservative approach was used without extraction of supernumerary tooth and obturated with mineral trioxide aggregate to reach a favorable outcome.

Keywords: Cone-beam computed tomography; Fused teeth; Mineral trioxide aggregate; Supernumerary tooth.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1. (A) Initial clinical photograph shows discoloration of tooth #21. (B) Canal orifice (1) and labial perforation area extended subgingivally (2) (C) Intraoral radiograph of tooth #21 with periapical lesion and lateral radiopaque shadow. (D) Working length determination radiograph. (E) Post-obturation radiograph of tooth #21.
Figure 2
Figure 2. CBCT images showed the presence of extra root fused with the root of tooth #21 bellow cervical line continuing till the apex. (B) Periapical lesion of tooth #21. (C) Perforation area extended to labial surface. (D) Presence of canal in supernumerary root.
Figure 3
Figure 3. (A) Perforation area was identified on labial surface after flap reflection. (B) Canal found in supernumerary root. (C) Sealed labial perforation area (arrow) and obturated supernumerary root canal with MTA (arrow). (D) Distal access cavity was sealed with resin modified glass ionomer cement.
Figure 4
Figure 4. (A) Post treatment radiograph. (B) One year follow-up radiograph. (C) One year follow-up clinical photograph.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Miles AE. Malformations of the teeth. Proc R Soc Med. 1954;47:817–826. - PMC - PubMed
    1. De Jonge TE. Geminate tooth formation: schizodontia and synodontia, abstracted. Dent Abstr. 1957;2:41.
    1. Rani A K, Metgud S, Yakub SS, Pai U, Toshniwal NG, 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;36:345–349. - PubMed
    1. Hagman FT. Anomalies of form and number, fused primary teeth, a correlation of the dentitions. ASDC J Dent Child. 1988;55:359–361. - PubMed
    1. Kayalibay H, Uzamis M, Akalin A. The treatment of a fusion between the maxillary central incisor and supernumerary tooth: report of a case. J Clin Pediatr Dent. 1996;20:237–240. - PubMed

Publication types

LinkOut - more resources