Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature review

Abstract Background Double teeth are usually the result of an abnormality in the developing tooth germ. Double teeth can occur in either the primary or permanent dentition, with the majority of cases concerning permanent teeth reported in the anterior teeth and less frequently in the molar teeth. Ca...

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Main Authors: Mengxi Chen, Xinna Bai, Xiangzhu Wang, Xiaoli Xie, Minmin Chen
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03463-4
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author Mengxi Chen
Xinna Bai
Xiangzhu Wang
Xiaoli Xie
Minmin Chen
author_facet Mengxi Chen
Xinna Bai
Xiangzhu Wang
Xiaoli Xie
Minmin Chen
author_sort Mengxi Chen
collection DOAJ
description Abstract Background Double teeth are usually the result of an abnormality in the developing tooth germ. Double teeth can occur in either the primary or permanent dentition, with the majority of cases concerning permanent teeth reported in the anterior teeth and less frequently in the molar teeth. Case presentation This report illustrates five cases of double teeth in molars with pulp and periapical disease, including one case of geminated teeth and four cases of fused teeth. Radiographic findings revealed the presence of extra teeth on the buccal aspect of the molar in five cases, with or without communication between the two root canal systems. Root canal treatment was performed by using CBCT and a dental operating microscope. The treatment outcome was good in all five cases. Conclusion The diagnosis and treatment of double teeth requires special attention. The root canal system should be carefully explored to obtain a full understanding of the anatomy, allowing it to be fully cleaned and obturated. Proper anatomical structure analysis prior to treatment facilitates the development of an appropriate treatment plan, thereby increasing the likelihood of successful treatment both aesthetically and functionally.
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spelling doaj.art-05b6ec26f47e4e1ca1ad526fd220e8662023-11-20T11:07:50ZengBMCBMC Oral Health1472-68312023-10-012311710.1186/s12903-023-03463-4Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature reviewMengxi Chen0Xinna Bai1Xiangzhu Wang2Xiaoli Xie3Minmin Chen4Xiangya Stomatological Hospital, Central South UniversityXiangya Stomatological Hospital, Central South UniversityXiangya Stomatological Hospital, Central South UniversityXiangya Stomatological Hospital, Central South UniversityXiangya Stomatological Hospital, Central South UniversityAbstract Background Double teeth are usually the result of an abnormality in the developing tooth germ. Double teeth can occur in either the primary or permanent dentition, with the majority of cases concerning permanent teeth reported in the anterior teeth and less frequently in the molar teeth. Case presentation This report illustrates five cases of double teeth in molars with pulp and periapical disease, including one case of geminated teeth and four cases of fused teeth. Radiographic findings revealed the presence of extra teeth on the buccal aspect of the molar in five cases, with or without communication between the two root canal systems. Root canal treatment was performed by using CBCT and a dental operating microscope. The treatment outcome was good in all five cases. Conclusion The diagnosis and treatment of double teeth requires special attention. The root canal system should be carefully explored to obtain a full understanding of the anatomy, allowing it to be fully cleaned and obturated. Proper anatomical structure analysis prior to treatment facilitates the development of an appropriate treatment plan, thereby increasing the likelihood of successful treatment both aesthetically and functionally.https://doi.org/10.1186/s12903-023-03463-4Cone-beam computed tomography scansGeminated teethFused teethDouble teethRoot canal therapyCase report
spellingShingle Mengxi Chen
Xinna Bai
Xiangzhu Wang
Xiaoli Xie
Minmin Chen
Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature review
BMC Oral Health
Cone-beam computed tomography scans
Geminated teeth
Fused teeth
Double teeth
Root canal therapy
Case report
title Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature review
title_full Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature review
title_fullStr Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature review
title_full_unstemmed Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature review
title_short Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature review
title_sort conservative management of double teeth in molar teeth with pulp or periapical disease a report of five cases and literature review
topic Cone-beam computed tomography scans
Geminated teeth
Fused teeth
Double teeth
Root canal therapy
Case report
url https://doi.org/10.1186/s12903-023-03463-4
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