Three anomaly cases:Dens type:Gemination and fusion

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Three anomaly cases:Dens type:Gemination and fusion - Courtesy ROOTS

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From: Sashi Nallapati
To: ROOTS
Sent: Monday, August 28, 2006 6:26 AM
Subject: [roots] three other anomaly cases

Here are three cases that i was involved with.
case 1. Dens Type 3A (endo followed by surgery)
case 2. Dens Type 3B (endo and surgery same visit) main canal retained vitality
case 3. Gemination and Fusion (i think) (endo1,endo2,surgery by colleagues) Intentional replant.
recalls ranging from 1 year to 3.5 yrs
all cases were healing/ healed and are in function - Sashi Nallapati

Sashi,  They are wonderful cases!! Top class endo
In the first photo, what is your prognosis for tooth 22?  - Hardy

at 4.5 yr...100% ( the endo was initiated in 2002 jan)
but it needed another surgical procedure a year later.(2003 Feb)
I posted the 3.5 yr recall post surgery..(top right pic)
tooth is still there and healing  with what appears to be a possible scar(it was a thru and thru lesion)
sinus tract never returned. I expect the prognosis to remain excellent..Sashi Nallapati

Protaper flaring 6 yr old Empress Cvek pulpotomy Middle mesial Endo misdiagnosis MTA retrofill Resin core BW importance Bicuspid tooth Necrotic #8 treatment Finding MB2 / MB3 Deep in a canal Broken file retrieval Molar cases Pushed over apex MB2 and palatal canal Long lower third Veneer cases CT Implant surgury	Weird Anatomy Apical trifurcation Canal and Ultrasonics Cotton stuffed chamber Pulp floor sandblasting Silver point removal Difficult acute curve Marked swelling 5 canaled premolar Sealer overextension Complex anatomy Secondary caries Zygomatic arch Confluent mesials LL 1st molar (#19) Shaping vs Cleaning First bicuspid In Vivo mesial view Inaccesible canals	Premolar 45 Ortho and implant Radioluscency Lateral incisor Obturation Churning irrigant Cold lateral Tipped to lingual Acute pulpitis images Middle distal canal Silver point Crown preparation Epiphany healing Weird anatomy Dual Xenon Looking for MB2 Upper molar resorption Acute apical abcess Finding MB2	Gingival inflammation Irreversible pulpitis AG BU ortho band TF Files using TF files Broken bur Warm technique Restorative prognosis Tooth # 20 and #30 Apical third 3 canal premolar Severe curvature Interesting anatomy Chamber floor Zirconia crown Dycal matrix Cracked tooth Tooth structure loss Multiplanar curves