Clinical management of fused and infected mandible canine and incisor

Alvaro Cruz, Mario Uribe, Jesús René Machado-Contreras, Claudia A. Palafox-Sánchez, Melissa González-Acatitla, L. Gerardo Gascón

Introduction: Dental fusion is a developmental anomaly in which two teeth buds join each other at different levels. Objective: To report a case of a lower canine and a lower lateral incisor with separate crowns and root fusion, with root canals connected and apical periodontitis. Methods: One year earlier, the patient had received root canal treatment in the canine; however, there was no remission of symptoms. Endodontic treatment was performed with reinstrumentation, passive ultrasonic irrigation with sodium hypochlorite, smear layer removal and intracanal medication with calcium hydroxide. A week later, the symptoms had disappeared and the canals were filled with gutta-percha and Sealapex by means of the Tagger hybrid technique. Results: After two years and two months, the patient exhibited periapical tissues healing. Conclusion: The detection and proper management of developmental tooth anomaly cases is mandatory for treatment success.

Keywords: Root canal therapy. Dental pulp cavity. Anatomy. Periapical diseases.

How to cite: Cruz A, Uribe M, Machado-Contreras JR, Palafox-Sánchez CA, González-Acatitla M, Gascón LG. Clinical management of fused and infected mandible canine and incisor. Dental Press Endod. 2014 Sept-Dec;4(3):71-5. DOI: http://dx.doi.org/10.14436/2178-3713.4.3.071-075.oar

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