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Mandibular lateral incisor with four root canals: A unique case of double tooth diagnosed using multidetector computed tomography

  • Gupta, Sunil Kumar (Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal University) ;
  • Gupta, Jaya (Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Melaka Manipal Medical College, Manipal University) ;
  • Acharya, Shashi Rashmi (Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal University) ;
  • Ather, Amber (Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal University)
  • Received : 2012.06.20
  • Accepted : 2012.08.12
  • Published : 2013.06.30

Abstract

Double tooth is a dental anomaly consequent to fusion of two or more teeth or gemination of a single tooth. This report describes a unique case of double tooth in relation to a mandibular lateral incisor exhibiting the presence of four root canals. The role of conventional radiography and advanced three-dimensional imaging techniques in the better assessment of complex root canal systems and their aid in endodontic management has also been highlighted.

Keywords

References

  1. Duncan WK, Helpin ML. Bilateral fusion and gemination: a literature analysis and case report. Oral Surg Oral Med Oral Pathol 1987; 64: 82-7. https://doi.org/10.1016/0030-4220(87)90121-6
  2. Brook AH, Winter GB. Double teeth. A retrospective study of 'geminated' and 'fused' teeth in children. Br Dent J 1970; 129: 123-30. https://doi.org/10.1038/sj.bdj.4802533
  3. Saap JP, Eversole LR, Wysocki GP. Contemporary oral and maxillofacial pathology. St. Louis: Mosby; 1997.
  4. Chaudhry SI, Sprawson NJ, Howe L, Nairn RI. Dental twinning. Br Dent J 1997; 182: 185-8. https://doi.org/10.1038/sj.bdj.4809339
  5. Tannenbaum KA, Alling EE. Anomalous tooth development. Case reports of gemination and twinning. Oral Surg Oral Med Oral Pathol 1963; 16: 883-7. https://doi.org/10.1016/0030-4220(63)90326-8
  6. Blaney TD, Hartwell GR, Bellizzi R. Endodontic management of a fused tooth: a case report. J Endod 1982; 8: 227-30. https://doi.org/10.1016/S0099-2399(82)80359-2
  7. Hülsmann M, Bahr R, Grohmann U. Hemisection and vital treatment of a fused tooth - literature review and case report. Endod Dent Traumatol 1997; 13: 253-8. https://doi.org/10.1111/j.1600-9657.1997.tb00051.x
  8. Nunes E, de Moraes IG, de Novaes PM, de Sousa SM. Bilateral fusion of mandibular second molars with supernumerary teeth: case report. Braz Dent J 2002; 13: 137-41. https://doi.org/10.1590/S0103-64402002000200012
  9. Schuurs AH, van Loveren C. Double teeth: review of the literature. ASDC J Dent Child 2000; 67: 313-25.
  10. Neville BW, Damm DD, Allen CM, Bouquet JE. Oral and maxillofacial pathology. 3rd ed. Philadelphia: WB Saunders; 2009. p. 54-119.
  11. Peretz B, Brezniak N. Fusion of primary mandibular teeth: report of case. ASDC J Dent Child 1992; 59: 366-8.
  12. Camm JH, Wood AJ. Gemination, fusion and supernumerary tooth in the primary dentition: report of case. ASDC J Dent Child 1989; 56: 60-1.
  13. O'Reilly PM. Structural and radiographic evaluation of four cases of tooth fusion. Aust Dent J 1990; 35: 226-9. https://doi.org/10.1111/j.1834-7819.1990.tb05398.x
  14. Itkin AB, Barr GS. Comprehensive management of the double tooth: report of case. J Am Dent Assoc 1975; 90: 1269-72. https://doi.org/10.14219/jada.archive.1975.0286
  15. Pereira AJ, Fidel RA, Fidel SR. Maxillary lateral incisor with two root canals: fusion, gemination or dens invaginatus? Braz Dent J 2000; 11: 141-6.
  16. Onçag O, Candan U, Arikan F. Comprehensive therapy of a fusion between a mandibular lateral incisor and supernumerary tooth: case report. Int Dent J 2005; 55: 213-6. https://doi.org/10.1111/j.1875-595X.2005.tb00318.x
  17. Peyrano A, Zmener O. Endodontic management of mandibular lateral incisor fused with supernumerary tooth. Endod Dent Traumatol 1995; 11: 196-8. https://doi.org/10.1111/j.1600-9657.1995.tb00487.x
  18. Mader CL. Fusion of teeth. J Am Dent Assoc 1979; 98: 62-4. https://doi.org/10.14219/jada.archive.1979.0037
  19. Salcido-García JF, Ledesma-Montes C, Hernández-Flores F, Pérez D, Garcés-Ortíz M. Frequency of supernumerary teeth in Mexican population. Med Oral Patol Oral Cir Bucal 2004; 9: 407-9.
  20. Lyroudia K, Mikrogeorgis G, Nikopoulos N, Samakovitis G, Molyvdas I, Pitas I. Computerized 3-D reconstruction of two "double teeth". Endod Dent Traumatol 1997; 13: 218-22. https://doi.org/10.1111/j.1600-9657.1997.tb00043.x
  21. Tsesis I, Steinbock N, Rosenberg E, Kaufman AY. Endodontic treatment of developmental anomalies in posterior teeth: treatment of geminated/fused teeth - report of two cases. Int Endod J 2003; 36: 372-9. https://doi.org/10.1046/j.1365-2591.2003.00666.x