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Endodontic management of supernumerary tooth fused with maxillary first molar by using cone-beam computed tomography
Chang-Kyu Song1, Hoon-Sang Chang, Kyung-San Min
1Department of Conservative Dentistry, School of Dentistry, Wonkwang University, Iksan, Republic of Korea.
Introduction:
Fusion is a rare occurrence, and its definitive diagnosis is of prime importance for successful root canal treatment. This case report discusses the endodontic management of a supernumerary tooth fused with a right maxillary first molar by using cone-beam computed tomography (CBCT).
Methods:
Nonsurgical endodontic retreatment was performed on the supernumerary tooth. A communication between the maxillary first molar and the supernumerary tooth was repaired by using flowable resin.
Results:
After 1 year of follow-up, there were no clinical symptoms, and the maxillary first molar remained vital. Recall radiographs and CBCT showed satisfactory healing of the periapical pathosis.
Conclusions:
Proper diagnosis and treatment planning for endodontic management of fused teeth by using CBCT can ensure predictable and successful results.
