Journal of Endodontics
Volume 36, Issue 2 , Pages 345-349 , February 2010

Endodontic and Esthetic Management of Maxillary Lateral Incisor Fused to a Supernumerary Tooth Associated with a Talon Cusp by Using Spiral Computed Tomography as a Diagnostic Aid: A Case Report

  • Kavita Rani A, MDS

      Affiliations

    • Department of Conservative Dentistry and Endodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni BK, Maharashtra, India
    • Corresponding Author InformationAddress requests for reprints to Dr Kavita Rani A, Senior Lecturer, Dept of Conservative Dentistry and Endodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni BK, PinCode No- 413736, Rahata, AhmedNagar, Maharashtra, India.
    • ,
  • Sandeep Metgud, MDS

      Affiliations

    • Department of Conservative Dentistry and Endodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni BK, Maharashtra, India
    • ,
  • Shoeb Sheikh Yakub, MDS

      Affiliations

    • Department of Conservative Dentistry and Endodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni BK, Maharashtra, India
    • ,
  • Umesh Pai, MDS

      Affiliations

    • Department of Prosthdontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni BK, Maharashtra, India
    • ,
  • N.G. Toshniwal, MDS

      Affiliations

    • Department of Orthodontics and Dentofacial Orthopedics, Rural Dental College, Pravara Institute of Medical Sciences, Loni BK, Maharashtra, India
    • ,
  • Naval Bawaskar, MDS

      Affiliations

    • Department of Orthodontics and Dentofacial Orthopedics, Rural Dental College, Pravara Institute of Medical Sciences, Loni BK, Maharashtra, India

References 

  1. Duncan WK, Helpin ML. Bilateral fusion and gemination: a literature analysis and case report. Oral Surg Oral Med Oral Pathology. 1987;64:82–87
  2. Pindborg JJ. Pathology of the dental hard tissues. Philadelphia: W.B. Saunders; 1970;
  3. Bueviaje TM, Rapp R. Dental anomalies in children: a clinical and radiographic survey. J Dent Child. 1984;51:42–46
  4. Brook AH, Winter GB. Double teeth: a retrospective study of ‘geminated’ and ‘fused’ teeth in children. Br Dent J. 1970;129:123–130
  5. Yuen SW, Chan JC, Wei SH. Double primary teeth and their relationship with the permanent successors: a radiographic study of 376 cases. Pediatric Dentistry. 1987;9:42–48
  6. Shafer WG, Hine MK, Levy BM. A textbook of oral pathology. 4th ed. 2001;41–45
  7. Hülsmann M. Aetiology and therapy of dens evaginatus. Endodontie. 2004;13:363–372
  8. Hattab FN, Yassin OM, al-Nimri KS. Talon cusp: clinical significance and management—case reports. Quintessence Int. 1995;26:115–120
  9. Richardson DS, Knudson KG. Talon cusp: a preventive approach to treatment. J Am Dent Assoc. 1985;110:60–62
  10. Davis PJ, Brook AH. The presentation of talon cusp: diagnosis clinical features, associations and possible aetiology. Br Dent J. 1985;160:84–88
  11. Surtnont PA, Martens LC, De Craene LG. A complete fusion in the primary human dentition: a histological approach. J Dent Child. 1988;55:362–367
  12. Blaney TD, Hartwell GR, Bellizzi R. Endodontic management of a fused tooth: a case report. J Endod. 1982;8:227–230
  13. Kim E, Yi-Tai Jou. A supernumerary tooth fused to the facial surface of a maxillary permanent central incisor: case report. J Endod. 2000;26:45–48
  14. Sivolella S, Bressan E, Mirabal V, Stellini E, Berengo M. Extraoral endodontic treatment, odontotomy and intentional replantation of a double maxillary lateral permanent incisor: case report and 6-year follow-up. International Endodontic Journal. 2008;41:538–546
  15. Kremeier K, Pontius O, Klaiber B, Hulsmann M. Nonsurgical endodontic management of a double tooth: a case report. International Endodontic Journal. 2007;40:908–915
  16. Hashim HA. Orthodontic treatment of fused and geminated central incisors: a case report. J Contemp Dent Pract. 2004;15:136–144
  17. Pereira AJA, Fidel RAS, Fidel SR. Maxillary lateral incisor with two root canals: fusion, gemination or dens invaginatus. Braz Dent J. 2000;11:141–146
  18. Ballal VN, Kundabala M, Acharya S. Esthetic management of fused carious teeth: a case report. J Esthet Restor Dent. 2006;18:13–18
  19. de Siqueira VC, Braga TL, Martins MA, Raitz R, Martins MD. Dental fusion and dens evaginatus in the permanent dentition: literature review and clinical case report with conservative treatment. J Dent Child (Chic). 2004;1:69–72
  20. Danesh G, Schrijnemakers T, Lippold C, Schäfer E. A fused maxillary central incisor with dens evaginatus as a talon cusp. Angle Orthod. 2007;77:176–180
  21. Tasa GL, Lukacs JR. The prevalence and expression of primary double teeth in western India. ASDC Journal of Dentistry for Children. 2001;68:196–200
  22. Tomizawa M, Shimizu A, Hayashi S, Noda T. Bilateral maxillary fused primary incisors accompanied by succedaneous supernumerary teeth: report of a case. International Journal of Paediatric Dentistry. 2002;2:223–227
  23. Hulsmann M, Bahr R, Grohmann U. Hemisection and vital treatment of a fused tooth: literature review and case report. Endodontics and Dental Traumatology. 1997;13:253–258
  24. Tsesis I, Steinbock N, Rosenberg E, Kaufman AY. (2003) Endodontic treatment of developmental anomalies in posterior teeth: treatment of geminated/fused teeth – report of two cases. International Endodontic Journal. 2003;36:372–379
  25. Grondahl H-G, Huumonen S. Radiographic manifestations of periapical inflammatory lesions. Endodontic Topics. 2004;8:55–67
  26. Hu H, He HD, Foley WD, Fox SH. Four multidetector-row helical CT: image quality and volume coverage speed. Radiology. 2000;215:55–62
  27. Zoetelief J, Geleijns J. Patient doses in spiral CT. Br J Radiol. 1998;7:584–586
  28. Christoph GD, Wilfried GH, Engel Britta R, Hermann KP, Oestmann JW. Must radiation dose for ct of the maxilla and mandible be higher than that for conventional panoramic radiography?. Am Soc Neuroradiol. 1996;96:1758–1760
  29. Ballal S, Sachdeva GS, Kandaswamy D. Endodontic management of a fused mandibular second molar and paramolar with the aid of spiral computed tomography: a case report. J Endod. 2007;33:1247–1251
  30. Robinson S, Czerny C, Gahleitner A, Bernhart T, Kainberger FM. Dental CT evaluation of mandibular first premolar root configurations and canal variations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:328–332
  31. Sponchiado EC, Ismail HA, Braga MR, de Carvalho FK, Simoes CA. Maxillary central incisor with two root canals: a case report. J Endod. 2006;32:1002–1004
  32. Gopikrishna V, Bhargavi N, Kandaswamy D. Endodontic management of a maxillary first molar with a single root and a single canal diagnosed with the aid of spiral CT: a case report. J Endod. 2006;32:687–691
  33. Gopikrishna V, Rueben J, Kandaswamy D. Endodontic management of a maxillary first molar with two palatal roots and a single fused buccal root diagnosed with spiral computed tomography: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:e74–e78
  34. Hattab FN, Yassin OM, Al-Nimri KS. Talon cusp in permanent dentition associated with other dental anomalies: review of literature and report of seven cases. Journal of Dentistry for Children. 1996;63:368–376
  35. Mellor JK, Ripa LW. Talon cusp: a clinically significant anomaly. Oral Surg Oral Med Oral Pathol. 1970;29:225–228
  36. Mader CL. Fusion of teeth. J Am Dent Assoc. 1979;98:62–64
  37. Patel S, Dawood A, Pitt Ford T, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. International Endodontic Journal. 2007;40:818–830

PII: S0099-2399(09)00644-X

doi: 10.1016/j.joen.2009.07.014

Journal of Endodontics
Volume 36, Issue 2 , Pages 345-349 , February 2010

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