Strecha J, Jurkovic R, Siebert T
Eurodent Medicana, Martin, Slovakia.
Bratisl Lek Listy. 2012;113(9):569-71. doi: 10.4149/bll_2012_128.
Subject matter: The dentist has to deal with complicated cases of fused molars, which are rather rare and morphologically very varied. A wrong or incomplete diagnosis can considerably complicate a planned therapy.
The authors describe a case of apical periodontal complication of fused teeth that had to be removed surgically. The upper 2nd molar fused with the impacted 3rd molar and was diagnosed for extraction.
Even a careful diagnostic procedure and X-ray image sometimes may not indicate the exact location and mutual position of the fused teeth. The authors make us aware of the possible occurrence of fused roots, and the necessity to inform the patient ahead of time about the course of endodontic or surgical interventions, possible complications and their removal. They describe the positive influence of PRP (platelet rich plasma) in wound healing. In order to establish the exact indication and therapy, they emphasize the importance of using CT imaging diagnostics or a 3D-CT examination (Fig. 7, Ref. 15).
主题：牙医必须处理融合磨牙的复杂病例，这种情况相当罕见且形态差异很大。错误或不完整的诊断会使计划中的治疗变得相当复杂。
作者描述了一例融合牙根尖牙周并发症，必须通过手术切除。上颌第二磨牙与阻生第三磨牙融合，诊断后需拔除。
即使进行仔细的诊断程序和X光检查，有时也可能无法明确融合牙的确切位置和相互关系。作者提醒我们可能会出现融合根，并且有必要提前告知患者牙髓治疗或手术干预的过程、可能出现的并发症及其处理方法。他们描述了富血小板血浆（PRP）在伤口愈合中的积极作用。为了确定确切的适应症和治疗方法，他们强调了使用CT成像诊断或三维CT检查的重要性（图7，参考文献15）。
