Clinical management of fused and infected mandible canine and incisor

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Edition V04N03 | Year 2014 | Editorial Original Article | Pages 71 to 75

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.

Root canal therapy, Dental pulp cavity, Anatomy, Periapical diseases,

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:

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