Use of Cone-Beam Computed Tomography in the Diagnosis and Treatment of an Unusual Canine Abnormality
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 2
Abstract
Diagnosis and treatment planning are important for successful endodontic treatment. We report a 24-year old male who presented to the Government Dental College in Kozhikode, Kerala, India, in 2015 with pain in his right upper canine. A digital periapical radiograph indicated the presence of a supernumerary tooth superimposing the root of the canine. However, cone-beam computed tomography (CBCT) confrmed that the supernumerary tooth was an illusion and that the canine root had a sharp invagination involving the labial and pulpal dentin surfaces, with evidence of periapical bone destruction. A blunt resection was performed at the level of the invagination and the resected end was flled with a dentin substitute. At a one-year follow-up, the patient was asymptomatic and the periapical region appeared to be healing well. Tis report highlights the importance of CBCT in visualising abnormal canine morphology, thus allowing appropriate endodontic treatment.
Authors and Affiliations
Archana Gopalakrishnan| Departments of Oral Medicine & Radiology, Government Dental College Kozhikode, Kozhikode, Kerala, India, Unnikrishna K. | Departments of Conservative Dentistry & Endodontics, Government Dental College Kozhikode, Kozhikode, Kerala, India, Anita Balan| Department of Oral Medicine & Radiology, Government Dental College Trivandrum, Tiruvananthapuram, Kerala, India, Haris P. S. | Departments of Oral Medicine & Radiology, Government Dental College Kozhikode, Kozhikode, Kerala, India
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- EP ID EP14781
- DOI 10.18295/squmj.2016.17.02.019
- Views 321
- Downloads 15
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