Nonsurgical endodontic retreatment of fused teeth with transposition: a case report
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Tooth transposition is a disorder in which a permanent tooth develops and erupts in the normal position of another permanent tooth. Fusion and gemination are developmental disturbances presenting as the union of teeth. This article reports the nonsurgical retreatment of a very rare case of fused teeth with transposition. A patient was referred for endodontic treatment of her maxillary left first molar in the position of the first premolar, which was adjacent to it on the distobuccal side. Orthopantomography and periapical radiography showed two crowns sharing the same root, with a root canal treatment and an associated periapical lesion. Tooth fusion with transposition of a maxillary molar and a premolar was diagnosed. Nonsurgical endodontic retreatment was performed. At four yr follow-up, the tooth was asymptomatic and the radiolucency around the apical region had decreased, showing the success of our intervention. The diagnosis and treatment of fused teeth require special attention. The canal system should be carefully explored to obtain a full understanding of the anatomy, allowing it to be fully cleaned and obturated. Thermoplastic techniques were useful in obtaining hermetic obturation. A correct anatomical evaluation improves the set of treatment options under consideration, leading to a higher likelihood of esthetically and functionally successful treatment.
Abstract
Tooth transposition is a disorder in which a permanent tooth develops and erupts in the normal position of another permanent tooth. Fusion and gemination are developmental disturbances presenting as the union of teeth. This article reports the nonsurgical retreatment of a very rare case of fused teeth with transposition. A patient was referred for endodontic treatment of her maxillary left first molar in the position of the first premolar, which was adjacent to it on the distobuccal side. Orthopantomography and periapical radiography showed two crowns sharing the same root, with a root canal treatment and an associated periapical lesion. Tooth fusion with transposition of a maxillary molar and a premolar was diagnosed. Nonsurgical endodontic retreatment was performed. At four yr follow-up, the tooth was asymptomatic and the radiolucency around the apical region had decreased, showing the success of our intervention. The diagnosis and treatment of fused teeth require special attention. The canal system should be carefully explored to obtain a full understanding of the anatomy, allowing it to be fully cleaned and obturated. Thermoplastic techniques were useful in obtaining hermetic obturation. A correct anatomical evaluation improves the set of treatment options under consideration, leading to a higher likelihood of esthetically and functionally successful treatment.
참고문헌 (20)
- Knezević A, "Double tooth", Coll Antropol, 26, pp.667~672 (2002)
- Kavadia-Tsatala S, "Tooth transpositions associated with dental anomalies and treatment management in a sample of orthodontic patients", J Clin Pediatr Dent, 28, pp.19~25 (2003)
- Tannenbaum KA, "Anomalous tooth development. Case reports of gemination and twinning", Oral Surg Oral Med Oral Pathol, 16, pp.883~887 (1963)
- 조규민, "Clinical management of a fused upper premolar with supernumerary tooth: a case report", Restorative Dentistry and Endodontics, 39(4), pp.319~323 (2014), 대한치과보존학회
- Gadimli C, "Interdisciplinary treatment of a fused lower premolar with supernumerary tooth", Eur J Dent, 5, pp.349~353 (2011)
- G S, "Prevalence and incidence of gemination and fusion in maxillary lateral incisors in odisha population and related case report", J Clin Diagn Res, 7, pp.2326~2329 (2013)
- Gallottini L, "Endodontic treatment of a fused tooth. Report of a case", Minerva Stomatol, 56, pp.633~638 (2007)
- Aryanpour S, "Endodontic and periodontal treatments of a geminated mandibular first premolar", Int Endod J, 35, pp.209~214 (2002)
- Liang RZ, "Bilateral maxillary fused second and third molars: a rare occurrence", Int J Oral Sci, 4, pp.231~234 (2012)
- Salem Milani A., "Endodontic management of a fused mandibular second molar and paramolar: a case report", Iran Endod J, 5, pp.131~134 (2010)
- Song CK, "Endodontic management of supernumerary tooth fused with maxillary first molar by using cone-beam computed tomography", J Endod, 36, pp.1901~1904 (2010)
- Weinstein T, "Endodontic treatment of a geminated maxillary second molar using an endoscope as magnification device", Int Endod J, 43, pp.443~450 (2010)
- Asgary S., "Endodontic treatment of a maxillary second molar with developmental anomaly: a case report", Iran Endod J, 2, pp.73~76 (2007)
- Mader CL., "Fusion of teeth", J Am Dent Assoc, 98, pp.62~64 (1979)
- Rotstein I, "Endodontic therapy for a fused mandibular molar", Endod Dent Traumatol, 13, pp.149~151 (1997)
- Milazzo A, "Fusion, gemination, oligodontia, and taurodontism", J Pedod, 6, pp.194~199 (1982)
- Yücel AC, "Nonsurgical endodontic retreatment of geminated teeth: a case report", J Endod, 32, pp.1214~1216 (2006)
- Camm JH, "Gemination, fusion and supernumerary tooth in the primary dentition: report of case", ASDC J Dent Child, 56, pp.60~61
- Brook AH, "Double teeth. A retrospective study of 'geminate' and 'fuse' teeth in children", Br Dent J, 129, pp.123~130 (1970)
- Tsesis I, "Endodontic treatment of developmental anomalies in posterior teeth: treatment of geminated", fused teethreport of two cases, 2003, pp.36, 372~379