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Bilateral maxillary fused second and third molars: a rare occurrence.
Rui-Zhen Liang1, Jin-Tao Wu, You-Nong Wu
1Institute of Stomatology, Nanjing Medical University, Nanjing, China.
International Journal of Oral Science
|December 11, 2012
Summary
This case report details successful endodontic therapy for fused maxillary molars. Cone-beam computed tomography (CBCT) was crucial for diagnosing and treating these rare dental anomalies.
Area of Science:
- Dentistry
- Endodontics
- Oral and Maxillofacial Radiology
Background:
- Dental anomalies such as tooth fusion present diagnostic and therapeutic challenges.
- Accurate radiographic assessment is vital for complex dental cases.
Observation:
- A patient presented with pain and a history of failed extraction, initially appearing to have an extra cusp.
- Cone-beam computed tomography (CBCT) revealed fused maxillary second and third molars on the right side.
- The same CBCT scan also identified a fused maxillary left second and third molar, with a possible supernumerary fourth molar.
Findings:
- CBCT imaging precisely identified the anatomy of fused maxillary molars.
- Successful endodontic therapy was performed on the fused right maxillary molars.
- The treatment outcome was confirmed radiographically after six months.
Implications:
- This case highlights the importance of advanced imaging like CBCT in diagnosing complex dental anomalies.
- CBCT enables accurate treatment planning and execution for fused teeth, leading to successful endodontic outcomes.
- Understanding and managing dental fusions are critical for effective clinical practice.
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