Frontiers in dental medicine · 2026
Case Report: Endodontic management of a fused maxillary lateral incisor and canine with split.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Romel Alen, Kashyap K Adithya, Shetty S Vidhyadhara, Shetty K Harish, Harikrishnan Nikhil
Аннотация
BACKGROUND: Dental fusion, characterized by the joining of two neighboring tooth germs during odontogenesis, is an uncommon condition affecting approximately 0.1% of the permanent dentition. The unusual anatomy of the pulp chamber and the unpredictable root canal system pose significant challenges during endodontic treatment.
CASE REPORT: A 47-year-old female patient presented with a 6-month history of spontaneous nocturnal pain in the upper left anterior region. Clinical examination revealed a solitary tooth occupying the positions of teeth 22 and 23; the tooth had a buccal groove and severe distoproximal decay, with no tooth 23. Two pulp chambers joining into one canal in the middle third of the root and a distal periapical radiolucency were found on periapical radiography and cone beam computed tomography imaging.
MANAGEMENT: Root canal treatment was performed using nickel-titanium rotary instrumentation with activated irrigation and warm vertical obturation, followed by a split porcelain-fused-metal crown.
CONCLUSION: At the 6-month follow-up, the tooth was asymptomatic tooth with improving periapical condition, thus proving that the interdisciplinary approach guided by imaging provides predictable results in the treatment of permanently fused teeth.
CASE REPORT: A 47-year-old female patient presented with a 6-month history of spontaneous nocturnal pain in the upper left anterior region. Clinical examination revealed a solitary tooth occupying the positions of teeth 22 and 23; the tooth had a buccal groove and severe distoproximal decay, with no tooth 23. Two pulp chambers joining into one canal in the middle third of the root and a distal periapical radiolucency were found on periapical radiography and cone beam computed tomography imaging.
MANAGEMENT: Root canal treatment was performed using nickel-titanium rotary instrumentation with activated irrigation and warm vertical obturation, followed by a split porcelain-fused-metal crown.
CONCLUSION: At the 6-month follow-up, the tooth was asymptomatic tooth with improving periapical condition, thus proving that the interdisciplinary approach guided by imaging provides predictable results in the treatment of permanently fused teeth.