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BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Root Canal Debridement | Case Report

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

Authors: Mengxi Chen, Xinna Bai, Xiangzhu Wang, Xiaoli Xie, Minmin Chen

Published in: BMC Oral Health | Issue 1/2023

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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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Metadata
Title
Conservative management of double teeth in molar teeth with pulp or periapical disease: a report of five cases and literature review
Authors
Mengxi Chen
Xinna Bai
Xiangzhu Wang
Xiaoli Xie
Minmin Chen
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03463-4

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