과잉치와 유합된 상악 우측 제 1 대구치의 직접 치수 복조 및 2급 복합레진 수복 |
배인혜1, 최안나2, 손성애3, 박정길4 |
1부산대학교 치의학전문대학원 치과보존학교실 2부산대학교 치의학전문대학원 치과보존학교실 3부산대학교 치의학전문대학원 치과보존학교실 4부산대학교 치의학전문대학원 치과보존학교실 |
Direct pulp capping and class II composite resin restoration of right maxillary first molar fused to supernumerary tooth |
In-Hye Bae1, An-Na Choi2, Sung-Ae Son3, Jeong-Kil Park4 |
1Department of Conservative Dentistry, School of Dentistry, Pusan National University 2Department of Conservative Dentistry, School of Dentistry, Pusan National University 3Department of Conservative Dentistry, School of Dentistry, Pusan National University 4Department of Conservative Dentistry, School of Dentistry, Pusan National University |
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Abstract |
Among developmental anomalies of tooth shape, fusion and gemination are comparatively common. Developed with different etiologies, both fusion and gemination show similar clinical features. Therefore, many clinicians have difficulty diagnosing those morpho-anatomic anomalies. The purpose of this study is to report malformed right maxillary first molar in a 20-year-old female. With the aid of computed tomography (CT), the tooth was diagnosed as fusion with supernumerary tooth and dental caries lesion was detected. After performing direct pulp capping, the tooth was permanently restored with microhybrid composite resin using direct method to alter union groove into smooth surface for improving oral hygiene management. Until 6 months of follow-up visits, patient's chief complaint was resolved and tooth is still vital. In conclusion, identifying exact anatomy, conservative treatment and improving oral hygiene are essential in managing unusual morphologic anomalies of tooth. |
Key Words:
Fusion;Gemination;Supernumerary teeth;Computed tomography;Direct pulp capping;Composite resin; |
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