Endodontic Management of Unusual Maxillary First Molar with Fusion using Cone-Beam Computed Tomography as a Diagnostic Aid
Published: November 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/42754.13319
Manoj Mahadeo Ramugade, Apoorva Patel, Apurva Sagale, Sayed Abrar
1. Associate Professor, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Mumbai, Maharashtra, India.
2. Postgraduate Student, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Mumbai, Maharashtra, India.
3. Ex. Assistant Professor, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Mumbai, Maharashtra, India.
4. Associate Professor, Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Mumbai, Maharashtra, India.
Correspondence
Manoj Mahadeo Ramugade,
Room No. 101, Government Dental College and Hospital, Mumbai, Maharashtra, India.
E-mail: manojmds05@yahoo.co.in
Maxillary first molars are distinguished for their numerous anatomical variations including the single root with a single canal, the presence of additional canals or the fusion. Fusion is an uncommon morphological variation that often occurs in deciduous anteriors but in the permanent maxillary first molars, it is rarely observed. Management of such diversions requires magnification, refinement in every step such as in access cavity preparation, cleaning-shaping and modification in the technique of obturation. The reported case enlightens the endodontic management of maxillary first molar exhibiting the fusion with the supernumerary tooth diagnosed using a Cone-Beam Computed Tomography (CBCT).
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