PMC4770476_01
Preoperative radiograph of fused mandibular lateral incisor with supernumerary tooth.
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F1
Radiographic examination [Figure 1] showed that the mandibular right lateral incisor had two separate roots and pulp canals. Pulp vitality tests were negative, during clinical control, intra [Figure 2] and extra [Figure 3] oral sinus tract was revealed; also with a wide periapical radiolucency at the apex of the tooth [Figure 1].
Initial intraoral appearance of fused mandibular lateral incisor with supernumerary tooth.
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F2
Pulp vitality tests were negative, during clinical control, intra [Figure 2] and extra [Figure 3] oral sinus tract was revealed; also with a wide periapical radiolucency at the apex of the tooth [Figure 1].
Appearance of initial status of extraoral fistule originating from fused teeth.
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F3
Pulp vitality tests were negative, during clinical control, intra [Figure 2] and extra [Figure 3] oral sinus tract was revealed; also with a wide periapical radiolucency at the apex of the tooth [Figure 1].
Lingual appearance of fused mandibular lateral incisor with supernumerary tooth.
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F4
The lingual view of teeth is presented in Figure 4.
Appearance of fused teeth radiographically immediately after root canal treatment.
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F5
A postoperative final radiograph was taken [Figure 5].
Healed extraoral fistule after 18-month.
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F6
During recalls, the clinical appearance of the skin had returned to a healthy status [Figure 6].
Clinically appearance of fused teeth after 18-month.
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F7
The composite restoration was examined to determine clinical acceptability according to the criteria of the United States Public Health Service (USPHS) [Table 1] in terms of retention, color match, secondary caries, anatomic form, marginal adaptation, and surface texture [Figure 7].
Appearance of fused teeth radiographically 18-month after root canal treatment.
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F8
Radiographic examination revealed the periapical lesions had resolved significantly [Figure 8].