Totally submerged deciduous maxillary molars. Case reports

The total reimpaction or submersion of deciduous teeth is a very uncommon phenomenon and few cases have been reported in the literature. The condition affects the mandibular second deciduous molar most often and the maxillary first deciduous molar least often. Two cases of totally reimpacted maxillary deciduous molars are reported     

Unusual root canal anatomy in maxillary second molars: two case reports

The aim of this clinical report is to describe the unusual root canal anatomy of 2 maxillary second molars with 2 separated palatal roots and the endodontic treatment procedures for those teeth. In these presented cases, microscopy was useful to identify distopalatal orifice. Radiographic interpretation was difficult owing to the overlap of the buccal and secondary palatal roots.     

Agenesis of maxillary permanent first molars: Literature review and two case reports

Congenital absence of teeth is the most commonly known developmental dental anomaly in humans. Agenesis of the permanent first molars has the least frequency of all the tooth types and when present, usually occurs in association with oligodontia or anodontia. Generally, it is easy to diagnose agenesis of the permanent first molars retrospectively, based on the clinical morphology and x-ray photographic features of the permanent second molars; while it is often debatable when made prospectively. Several hypotheses have been promulgated to explain the etiology of hypodontia with evolutionary and anatomic models. Nevertheless, clinical epidemiology does not completely support these hypotheses and therefore clinicians should be cautious; while speculating the missing tooth type based on these hypotheses. We encompass a comprehensive review of the literature on missing permanent first molars and illustrate two cases of missing maxillary permanent first molars to emphasize the complexity involved in their diagnosis.     

Retention of maxillary molars with Class III furcation involvement utilizing glass-ionomer: two case reports

Advanced furcation invasion has long been a treatment dilemma for the clinician. The present two case reports used a glass ionomer restorative material as a barrier in the treatment of maxillary Class III furcation defects. One year follow-up results showed a reduction in tooth mobility and probing depths and no bleeding on probing with the use of the glass ionomer. These case reports offer another option in the treatment of a seemingly hopeless periodontally involved maxillary molar.     

Impacted permanent first molars: two case reports

Impaction of first permanent molars is an uncommon condition and few cases are reported in the literature. Two cases of a mandibular and a maxillary impacted first permanent molar are presented, their aetiology and treatment alternatives are discussed.     

Mandibular premolar impaction: 2 case reports

The purpose of this article is to review the principles of case management of impacted mandibular premolars and to illustrate their potential to respond well to treatment. Although the scope of treatment may be influenced by the patient"s age, past dental history, severity of impaction, dentoalveolar development and root form, the 2 case reports demonstrate the inherent potential for good treatment outcome even in the most unfavourable circumstances.     

Natal maxillary primary molars: case report

An unusual case of a newborn with two immature natal maxillary molars is presented. Clinical and histological examination showed that the teeth were rootless and incompletely mineralized. The patient was followed up during one year and we confirmed that the natal teeth were from normal primary series.     

Submerged deciduous molars A case report

A 14-year-old girl who presented with her 4 second deciduous molars submerged in the absence of permanent successors is reported. The teeth were ankylosed and impacted by the adjacent teeth. There was evidence of their having been in occlusion. Radiographic and histological evidence showed pulpal changes. The cause is discussed.     

Three-dimensional analysis of pulp chambers in maxillary second deciduous molars

OBJECTIVE: The purpose of this study was to clarify the positional relationship between the crown contour and the pulp chamber using micro-CT system for restorations of maxillary second deciduous molar. METHODS: Five maxillary second deciduous molar teeth each from the deciduous dentition and the mixed dentition periods were used. The positional relationship between the crown contour and pulp chamber was three-dimensionally observed by micro-CT. In addition, the thickness of the dentin at each of the pulp horns and the volume ratio of the pulp chamber against the whole crown were measured. RESULTS: In relationship to the crown contour and the pulp chamber, the pulp horn of the mesiobuccal cusp showed greatest protrusion and eminent swelling of its mesial wall in both the deciduous dentition and the mixed dentition periods. Furthermore, the pulp chamber was shifted to the mesial side. The volume ratio of the pulp chamber to the whole crown, the ratio in the mixed dentition period showed to be significantly smaller than in the deciduous dentition period. The dentin thickness at the mesiobuccal pulp horn was the thinest. CONCLUSIONS: These results suggest that in preparation of cavities in maxillary second deciduous molars, care is necessary not to expose of the mesiobuccal pulp horn. Especially, the mesial wall of the mesiobuccal pulp horn should be noted.     

Unusual maxillary lateral incisors: case reports

Root canal morphology is often complex and the number of root canals may vary for any type of tooth. Abnormalities in the root canal morphology of maxillary lateral inciors are rare. Maxillary lateral incisors can have two root canals, even though the dental literature supports their 100% single-canal anatomy. It is vital to consider the possibility of extra root canal(s), even in teeth with a low frequency of abnormal root canal anatomy. This report presents two cases of maxillary lateral incisors with two root canals.     

Taurodontism of deciduous and permanent molars: report of two cases

Taurodontism is an aberration of teeth that lacks the constriction at the level of the CEJ characterized by elongated pulp chambers and apical displacement of bifurcation or trifurcation of the roots, giving it a rectangular shape. Its occurrence in permanent teeth is common and is quite rare in deciduous dentition. Presented in this article are two cases with taurodontism involving deciduous and permanent molars.     

Permanent maxillary central incisor impaction: report of two cases.

Impaction of the permanent maxillary central incisor is rare. Trauma to the primary maxillary anterior teeth is the most common cause. Two case reports of impacted permanent maxillary central incisors with a history of trauma to the primary maxillary anterior teeth are presented. In one case there was radiographic evidence of complete arrest of root formation, and in the other case the root was dilacerated from the cervical third and the enamel surface was rough.     

Carabelli's trait on maxillary second deciduous molars and first permanent molars in Hindus

The maxillary casts of 211 Gujarati Hindu children were examined for the occurrence of Carabelli's trait on the maxillary second deciduous molar (dm²). The trait was absent in 11.8 per cent. The tubercle form was present in 19.9 per cent and groove and pit in 58.3 per cent and 7.8 per cent respectively. The trait was usually present bilaterally. A further study of 192 dental casts out of 211 showed that the trait was present on the dm² if it was present on M¹ with a statistical significance at 5 per cent level.     

Horizontal/oblique root fractures in the palatal root of maxillary molars with associated periodontal destruction: case reports

Aim To report two cases of palatal root fracture in maxillary molars that were successfully managed in the short term by root canal treatment and root amputation. Summary In the first case, a 48‐year‐old woman with bony destruction and a deep periodontal pocket on the palatal root of tooth 26 (FDI) underwent root canal treatment. Bleeding into the palatal canal and radiolucent lines over the root suggested a fracture. Further evidence was provided by an electronic apex locator. Subsequent surgery confirmed the presence of a horizontal root fracture and the fractured root was removed. In the second case, a 75‐year‐old woman presented with pain from the left posterior teeth. Clinical examination revealed an oblique root fracture of tooth 27 palatal roots with abscess formation and a deep periodontal pocket. Palatal root amputation and odontoplasty were performed. This was followed by root canal treatment. Both teeth were preserved in the short term and early healing of these two cases was uneventful. Key learning points

• ? Horizontal/oblique root fracture of the palatal root in molars is rare.
• ? A combination of periodontal and root canal treatment and palatal root amputation may allow short‐term preservation of functional teeth.

     

Congenitally missing maxillary first permanent molars: a case report

Congenitally absent maxillary first permanent molars is a rare clinical finding. It usually occurs with severe oligodontia in association with other abnormalities of the integumentary system. This article presents the case of bilateral absent maxillary permanent molars with severe oligodontia and no other abnormalities.