An unusual presentation of a Canine (13) with periapical pathology showing an extra tooth structure on the mesial side.
On closer inspection, the pulp chambers seem connected. Since there is no missing tooth in the area, it looks like a case of Gemination.
After access opening, length determination of primary root is carried out.
Attempt is made to negotiate the additional root canal but the double curvature does not yield. The tooth is unlikely to heal unless the additional root is endontically treated or resected.
Surgical intervention is planned. A flap is raised and the additional root resected. The resulting perforation is sealed off with GIC.
Master cone placed.
Post Obturation radiograph.
The bony defect is expected to fill up in time.
To be reviewed in 3 & 6 months.....
6 comments:
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Gemination and fusion are morphological dental anomalies, characterized by the formation of a clinically wide tooth. Gemination occurs when one tooth bud tries to divide, while fusion occurs if two buds unite. The terms double teeth, double formation, conjoined teeth, geminifusion, vicinifusion and dental twinning are often used to describe fusion and gemination. Double teeth are associated with clinical problems such as poor esthetics, spacing problems and caries susceptibility.
Rotary endodontics
Great information.Thanks!
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DENTX ACADEMY, an institution with a unique curriculum and fusion of the best practices in Dental and Medical Sciences in association with LINCOLN UNIVERSITY (Malaysia). It is our everlasting passion that has driven us towards training our students with unsurpassed skills in Clinical, Academic, and Research domains.
We believe that our ultimate success would be to see our students become strong confident successful professionals who not only treat their patients with perfection but also have an endless passion and dedication towards the profession.
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