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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.

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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

References

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