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Endodontic and periodontal treatments of a geminated mandibular first premolar.

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Aryanpour, S [UCL] Bercy, Pierre [UCL] Van Nieuwenhuysen, Jean-Pierre [UCL]

AIM: To describe a rare case of gemination involving a mandibular first premolar. SUMMARY: The complex morphology of geminated teeth renders their endodontic and periodontal management difficult. Root canal and periodontal treatments were performed on a geminated mandibular first premolar with three canals. Clinical examination showed two separated crowns with united roots. Radiographically, two distinct pulp chambers with two joined and a third independent canal were seen. Conventional root canal treatment resulted in complete healing of the apical lesion. However, the occurrence of a vertical fracture led to the extraction of the mesial segment. At the follow-up visit, the distal segment was clinically healthy and continued to satisfy functional demands.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès interdit
Publication date 2002
Journal information "International endodontic journal" - Vol. 35, no. 2, p. 209-14 (2002)
Peer reviewed yes
issn 0143-2885
Publication status Publié
Affiliation UCL - MD/MDEN - Ecole de médecine dentaire et de stomatologie
MESH Subject Adult ; Bicuspid - abnormalities - pathology ; Dental Pulp Cavity - abnormalities ; Dental Pulp Necrosis - complications - therapy ; Female ; Fused Teeth - complications ; Humans ; Mandible ; Oral Surgical Procedures ; Periapical Abscess - complications - therapy ; Periodontal Pocket - complications - surgery ; Root Canal Therapy ; Tooth Crown - abnormalities ; Tooth Fractures - complications
Keywords Endodontic and periodontal treatments ; Germination ; Mandibular first premolar ; Twinning
Links
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Bibliographic reference Aryanpour, S ; Bercy, Pierre ; Van Nieuwenhuysen, Jean-Pierre. Endodontic and periodontal treatments of a geminated mandibular first premolar.. In: International endodontic journal, Vol. 35, no. 2, p. 209-14 (2002)
Permanent URL http://hdl.handle.net/2078.1/9155