Can concrescence diagnosis be obtained merely by clinical and imaging examination? from clinical case to histology
Keywords:Clinical Diagnosis; Oral Diagnosis; Diagnostic Techniques and Procedures; Oral Pathology; Tooth Abnormalities.
Concrescence is a rare type of union of two teeth, with no predisposition for a particular ethnicity, gender or age, specifically united by a portion of cementum, without the fusion of dentin, commonly reported in the posterior maxilla region, in most cases, this anomaly affects the second and third molars. Its diagnosis is suggested by radiographic images when there is proximity between two teeth, without signs of the periodontal ligament, or interdental bone between them, often showing a radiographic overlap. The lack of attention to these signs can lead to complications during endodontic and surgical procedures, such as unplanned extraction of the involved teeth, even leading to legal problems. The aim of this paper is to report a histologically proven case of concrescence between an erupted second molar largely compromised by caries and an impacted third molar, in addition to presenting a literature review, along with the histological aspect, about the subject.
Bancroft, J. D., & Stevens, A. (1996). Theory and Practice of Histological Techniques. (4a ed.), New York; Churchill Livingstone.
Berkovitz, B. K. B., Holland, G. R., & Moxham, B. J. (2004). Anatomia, embriologia e histologia bucal. (3a ed.), Porto Alegre Artmed.
Foran, D., Komabayashi, T., & Lin, L. M. (2012). Concrescence of permanent maxillary second and third molars: case report of non-surgical root canal treatment. J of Oral Scie. 54(1), 133-136.
Gunduz, K., Sumer, M., Sumer, A. P., & Gunhan, O. (2006). Concrescence of a mandibular third molar and a supernumerary fourth molar: Report of a rare case. Brit Dent J. 200(3), 141-2, feb 11.
Kardach, E. G., Sobieszczyk, M., & Sokalski, J. (2016). A Rare Case of Concrescence of Impacted Maxillary Molars. Dent. Med. Probl. 53, 2, 291–295.
Khanna, S., Sandhu, S., Bansal, H., & Khanna, V. (2011). Concrescence – a report of two cases. Int. J. Dent. Clin. 3, 75–76.
Neville, B., Damm, D. D., Allen, C., & Chi, A. (2016). Oral and maxillofacial pathology. (4a ed.), Philadelphia: Saunders.
Pereira, A. S., et al (2018). Methodology of cientific research. [e-Book]. Santa Maria City. UAB / NTE / UFSM Editors. Available at: https://repositorio.ufsm.br/bitstream/ handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Romito, L. M. (2004). Concrescence: Report of a rare case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 97, 325-7.
Sugiyama, M. I., Ogawa, Y. S., Tohmori, H., Higashikawa, K., & Kamata, N. (2007). Concrescence of teeth: cemental union between the crown of an impacted tooth and the roots of an erupted tooth. J of Oral Path & Med. 36(1), 60–2.
Syed, A. Z., Alluri, L. C., Mallela, D., & Frazee, T. (2016). Concrescence: Cone-Beam Computed Tomography Imaging Perspective. Case Reports In Dentistry, 2016, 1-4. https://doi.org/10.1155/2016/8597872
How to Cite
Copyright (c) 2020 Leonardo Alan Delanora, Maria Eloise de Sá Simon, Eder Alberto Sigua Rodriguez, Leonardo Perez Faverani, Angelo Jose Pavan
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.