The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Direct pulp capping and class II composite resin restoration of right maxillary first molar fused to supernumerary tooth

과잉치와 유합된 상악 우측 제 1 대구치의 직접 치수 복조 및 2급 복합레진 수복

  • Bae, In-Hye (Department of Conservative Dentistry, School of Dentistry, Pusan National University) ;
  • Choi, An-Na (Department of Conservative Dentistry, School of Dentistry, Pusan National University) ;
  • Son, Sung-Ae (Department of Conservative Dentistry, School of Dentistry, Pusan National University) ;
  • Park, Jeong-Kil (Department of Conservative Dentistry, School of Dentistry, Pusan National University)
  • 배인혜 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 최안나 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 손성애 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 박정길 (부산대학교 치의학전문대학원 치과보존학교실)
  • Received : 2018.02.02
  • Accepted : 2018.04.12
  • Published : 2018.06.01
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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.

Keywords

References

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