KACD
Search
- Page Path
- HOME > Search
Research Article
- Endodontic characteristics of mandibular premolar with dens evaginatus: a retrospective study
- Minjin Kim, Sujin Jeon, Min-Seock Seo
- Restor Dent Endod 2024;49(3):e28. Published online July 11, 2024
- DOI: https://doi.org/10.5395/rde.2024.49.e28
-
Abstract
PDF
PubReader
ePub Objectives This study aimed to investigate the endodontic characteristics of mandibular premolars with dens evaginatus (DE) that require endodontic treatment.
Materials and Methods Patients who underwent endodontic treatment were enrolled. The inclusion criteria were patients who underwent root canal treatment in the lower permanent teeth with DE and were followed up for at least 1 year. Preoperative clinical and radiographic variables were obtained. The frequency distribution of the preoperative variables was compared using the χ2 or Fisher’s exact tests. The significance of the change in periapical health index (PAI) and root development stages before and after treatment was examined using the Wilcoxon signed-rank test.
Results A total of 150 teeth of 134 patients with an average age of 15.3 years were included. The percentage distribution comparison of the preoperative variables and obturation techniques revealed significant differences in pulpal and periapical diagnosis, and percussion, and especially regarding age, root development stage, and PAI. Age was the only statistically significant preoperative variable associated with root growth (
p < 0.05).Conclusions Approximately, 60% of DEs requiring endodontic treatment had immature roots. Age being the most significant predisposing factor, early treatment provides the greatest opportunity for full root development.
- 33 View
- 2 Download
Case Report
- Clinical management of a fused upper premolar with supernumerary tooth: a case report
- Kyu-Min Cho, Ji-Hyun Jang, Sang-Hyuk Park
- Restor Dent Endod 2014;39(4):319-323. Published online July 17, 2014
- DOI: https://doi.org/10.5395/rde.2014.39.4.319
-
Abstract
PDFPubReaderePub
In dentistry, the term 'fusion' is used to describe a developmental disorder of dental hard tissues. In the permanent dentition, fusion of a normal tooth and a supernumerary tooth usually involves the incisors or canines. However, a few cases of fusion involving premolars have also been reported to date. We present a rare case in which fusion of the maxillary left second premolar and a supernumerary tooth in a 13-year-old girl was diagnosed using cone beam computed tomography (CBCT, Alphard-3030, Asahi Roentgen Ind. Co., Ltd.). The tooth was bicuspidized after routine nonsurgical root canal treatment, and the separated teeth underwent appropriate restoration procedures. The second premolar and supernumerary tooth remained asymptomatic without any signs of inflammation after a follow-up period of 9 years. Identification of anatomical anomalies is important for treatment in cases involving fusion with supernumerary tooth, and therefore the microscopic examinations and CBCT are essential for the diagnosis. Fused teeth can be effectively managed by the comprehensive treatment which includes both endodontic and periodontal procedures.
- 36 View
- 2 Download
First
Prev
