Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2022; 10(23): 8367-8374
Published online Aug 16, 2022. doi: 10.12998/wjcc.v10.i23.8367
Endodontic management of a fused left maxillary second molar and two paramolars using cone beam computed tomography: A case report
Xiao-Han Mei, Jin Liu, Wei Wang, Qian-Xia Zhang, Tao Hong, Shi-Zhu Bai, Xiao-Gang Cheng, Yu Tian, Wen-Kai Jiang
Xiao-Han Mei, Wei Wang, Qian-Xia Zhang, Xiao-Gang Cheng, Yu Tian, Wen-Kai Jiang, Department of Operative Dentistry and Endodontics, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, Shaanxi Province, China
Jin Liu, Department of Stomatology, Huangshan City People's Hospital, Huangshan 245000, Anhui Province, China
Tao Hong, Shi-Zhu Bai, Digital Dentistry Center, School of Stomatology, The Fourth Military Medical University, Xi'an 710032, Shaanxi Province, China
Author contributions: Mei XH and Jiang WK performed the dental treatment; Liu J, Wang W and Qianxia Zhang QX reviewed the literature, and contributed to the drafting of the manuscript; Hong T and Bai SZ contributed to the design of the treatment plan; Cheng XG, Tian Y and Jiang WK were responsible for the revision of the manuscript for important intellectual content; and All authors issued final approval for the version to be submitted.
Supported by the Innovative Talents Promotion Program-Youth Science and Technology Star Project, No. 2019KJXX-086; Shaanxi Provincial Natural Science Basic Research Foundation of China, No. 2019JM-376; and National Nature Science Foundation of China, No. 81970929.
Informed consent statement: The patient provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest regarding the publication of this paper.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Kai Jiang, PhD, Associate Chief Physician, Associate Professor, Department of Operative Dentistry and Endodontics, School of Stomatology, The Fourth Military Medical University, No. 145 Western Changle Road, Xi’an 710032, Shaanxi Province, China. Jiangw6@cardiff.ac.uk
Received: March 17, 2022
Peer-review started: March 17, 2022
First decision: May 12, 2022
Revised: May 20, 2022
Accepted: July 11, 2022
Article in press: July 11, 2022
Published online: August 16, 2022
Core Tip

Core Tip: Fused teeth usually involve several complications due to their complex anatomical structure. A thorough diagnosis is of vital importance. With the aid of cone-beam computed tomography (CBCT) and digital model technology, accurate 3-dimensional images of teeth can be obtained; thus, CBCT provides a minimally invasive approach to acquiring detailed diagnostic information. In this report, we utilized CBCT data to generate a digital model of a fused tooth and only treated the infected isthmus by an endodontic approach. Good treatment outcomes were observed at the 24-month follow-up. This finding provides new perspectives on the diagnosis and treatment of fused teeth.