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Endodontic Treatment and Aesthetic Management of Gemination in Primary Central Incisor with Two Root Canals
 
  • P-ISSN 2277-3525 E-ISSN 2582-7901

Journal of Multidisciplinary
Dental Research

Article

Journal of Multidisciplinary Dental Research

DOI: 10.38138/JMDR/v9i2.23.27

Volume: 9, Issue: 2, Pages: 56–58

Case Report

Endodontic Treatment and Aesthetic Management of Gemination in Primary Central Incisor with Two Root Canals

Pranjal Sharma1, Sowndarya Gunasekaran2,*

1Specialist Pediatric Dentist, New Look Medical Center, Al Ain, Abu Dhabi
2Assistant Professor, Department of Paediatric and Preventive dentistry, Vinayaka Mission’s Sankarachariyar Dental College,Vinayaka Mission’s Research Foundation (Deemed to be University), NH 47 Sankari Main Road, Ariyanoor, Salem, 636308, India

*Corresponding Author
Email: drsowndaryag@vmsdc.edu.in

Received Date:12 October 2023, Accepted Date:20 November 2023, Published Date:28 December 2023

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

This case report discusses the endodontic treatment and aesthetic management of gemination in a primary central incisor with two root canals in a 3-year-old boy. Gemination is a dental anomaly characterized by the partial division of a single tooth bud, resulting in a tooth with an enlarged crown and, in some cases, two root canals. The prevalence of gemination is relatively low, particularly in primary dentition. The patient presented with a large upper left central incisor (#61) that exhibited deep decay and caries, along with radiographic evidence of pulp involvement and a bifid crown with two separate pulp chambers and root canals. A diagnosis of gemination was established based on the presence of a complete dentition. The treatment approach included pulpectomy of the geminated tooth followed by the restoration of the crown using direct composite filling. The procedure aimed to alleviate the patient's pain, preserve the primary double tooth, and maintain the space for the succeeding permanent tooth. The report emphasizes the importance of careful clinical and radiographic examination for accurate diagnosis and highlights the challenges associated with managing geminated teeth. It underscores the need for vigilant monitoring and maintenance to ensure the long-term oral health and aesthetics of such aberrant teeth.

Keywords: Gemination, Aesthetic Dentistry, Pediatric Dentistry

References

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© 2023 Published by International Dental Educationists’ Association (IDEA). This is an open-access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/) 

  • 16 January 2024
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