Pulp Therapy of Maxillary Fused Primary Central and Lateral Incisors: A Case Report
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 8
Abstract
Fusion is a rare anomaly that originates during tooth development and causes an alteration in the number and shape of the affected teeth. Fused teeth are normally more susceptible to caries due to a large number of scratches and gaps at the site of the junction. This case report discusses pulp therapy of maxillary fused primary central and lateral incisors of a 4-year- old boy in which he reported with a chief complaint of persistent and recurrent pus and swelling in the upper front area. Clinical and radiographic examination confirmed the presence of fusion with deep caries involving the pulp with large periapical radiolucency and apical root resorption. Access cavity was made and working length was established, then canals were cleaned using K-files and 2% sodium hypochlorite and root canal filling was completed and the access was restored. Careful clinical and radiographic examination is necessary in treating teeth with such anomaly. This case report of endodontic treatment of the fusion stresses on maintenance of primary teeth until normal exfoliation time to be a crucial factor for esthetic, function, and patient’s physical and psychological health.
Authors and Affiliations
Adel Seed N. Alobaid
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