Leczenie endodontyczne i odbudowa estetyczna zdwojonego siekacza centralnego z guzkiem szponowatym
After administration of local anaesthesia to symptomatic tooth, rubber dam was applied for isolation. Caries lesion and the mainly affected talon cusp by the lesion were removed and an endodontic access cavity was prepared. Working length of the root canals was determined using ProPex II (Dentsply-Maillefer, Ballaigues, Switzerland). The root canals of geminated tooth were cleaned and shaped with ProTaper (Dentsply-Maillefer, Ballaigues, Switzerland) rotary instruments to size F5 to their full working lengths. During instrumentation root canals were irrigated with 2.5% sodium hypochlorite. After preparation, final irrigation was performed for one minute with 17% ethylenediaminetetraacetic acid and 2.5% sodium hypochlorite to remove the smear layer. The root canals were dried with sterile paper points and root canals were filled with using gutta-percha and AdSeal (Meta Biomed, Cheongju, Korea). And postoperative final radiograph was taken (Fig. 6). After endodontic treatment tooth was restored with nanofill composite resin material using layering technique for aesthetic expectations (Fig. 7).
The patient was recommended for clinical and radiographic followups. And he was referred to clinic of orthodontics due to the crowding and malocclusion.
Discussion
Fusion and gemination are morphological dental anomalies, which are difficult to distinguish. According to Levitas [7], counting teeth can make the differential diagnosis between fusion and gemination. If there is a missing tooth, anomaly can be termed as a fusion; if not it can be termed as a [...]
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