Gadimli Cengiz, Sari Zafer
Private Practice, Konya, Turkey.
Eur J Dent. 2011 Jul;5(3):349-53.
The objective of this report is to describe combined orthodontic and endodontic treatment of a fused mandibular premolar with supernumerary tooth. The patient was a 15 year old girl seeking orthodontic treatment for the correction of maxillary and mandibular crowding. Cephalometric examination revealed skeletally Class I relationship. The panoramic radiograph showed a fused tooth with two separate pulp chambers and two separate root canals connecting in apical third. After the endodontic treatment of the fused teeth, the stripping of the supernumerary tooth was performed to establish a Class I canine relationship and to correct midline deviation. At the end of the treatment, the crowding was resolved and positive overjet and overbite was achieved.
本报告的目的是描述对一颗融合下颌前磨牙伴多生牙进行正畸与牙髓联合治疗的情况。患者为一名15岁女孩，因矫正上颌和下颌牙列拥挤前来寻求正畸治疗。头影测量检查显示骨骼为I类关系。全景X线片显示一颗融合牙，有两个独立的髓室和两个在根尖三分之一处相连的独立根管。对融合牙进行牙髓治疗后，拔除多生牙以建立I类尖牙关系并纠正中线偏差。治疗结束时，牙列拥挤得到解决，实现了正常覆盖和覆合。
