Concrescence: Cone-Beam Computed Tomography Imaging Perspective.

Area of Science:

• Dentistry
• Oral and Maxillofacial Radiology

Background:

• Concrescence involves the fusion of cementum from two or more teeth at the root level.
• Conventional 2D imaging techniques for diagnosing concrescence have limitations, including image distortion and superimposition.
• Cone-Beam Computed Tomography (CBCT) offers advanced volumetric imaging, overcoming the limitations of 2D radiography.

Purpose of the Study:

• To report a rare case of dental anomaly, specifically concrescence.
• To illustrate the diagnostic utility of Cone-Beam CT in identifying concrescence.
• To highlight the advantages of CBCT over conventional imaging for this condition.

Main Methods:

• A case of dental abnormality was investigated using Cone-Beam CT.
• Volumetric data acquisition and analysis were performed.
• Diagnosis of concrescence was confirmed through detailed imaging interpretation.

Main Results:

• Cone-Beam CT imaging clearly demonstrated the concrescence of the left mandibular third molar with a paramolar (a supernumerary tooth).
• The volumetric data provided a precise visualization of the fused root structures.
• This case highlights the superiority of CBCT in diagnosing complex dental anomalies.

Conclusions:

• Cone-Beam CT is a valuable tool for the accurate diagnosis of concrescence.
• The use of CBCT in identifying the fusion of cementum between teeth is crucial for treatment planning.
• This report contributes to the literature by showcasing another instance where CBCT aids in diagnosing concrescence.