Case Report
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Radiks entomolaris teşhisi için intraoral periapikal radyografiler eşliğindeki tanısal yaklaşımlar

Year 2018, Volume: 43 Number: Supplement 1, 305 - 307, 29.12.2018
https://doi.org/10.17826/cumj.414872

Abstract

Periapikal radyografilerde periapikal bölgede görülen radyokasitenin bazen yorumlanması ve teşhis edilmesi zor olabilir. Mandibular ilk molar ve mandibular ikinci premolarda radiks entomolaris oluşumu nadirdir. Hekim, uygun teknikler kullanarak periapikal radyografiler almaz ise bu nadir durum muhtemelen yanlış teşhis edilebilir. 

28 yaşında bir erkek hasta, ağızın sağ alt arka bölgesinde çürük diş şikayetiyle başvurdu. Ağıziçi muayenede, 46'sının çürümüş olduğu ve dikey perküsyonda çürüdüğü gözlenmiştir. Aynı zamanda ağıziçi periapikal radyografi (IOPA) önerilmişdi. İyi tanımlanmış radyofasiteler 46 ve 45 kökler arasında gözlenmiştir. İdiyopatik osteosklerozun kesin olmayan tanısı yapıldı. Bununla birlikte, radyopak yapı bir diş köküne benzediğinden, farklı bir yatay angulasyonda başka bir IOPA çekilmiştir. Şaşırtıcı şekilde, 46 ek bir süpernümerari kök sergiledi. Ayrıca, 45 ile ilişkili olarak ek bir dil kökünün varlığı kaydedilmiştir. Bu olgu sunumu, nadir görülen radyus entomolarisi ve ikinci mandibular premolarda eşzamanlı olarak ek kök oluşumu sergileyen olgu örneği ile periapikal radyografiyi alırken, bir angulasyon farkının yorumlama/tanı üzerine etkisini göstermektedir.


References

  • 1. Movassagh Z, Ghahari P, Heidari N. Radix Entomolaris: a case report. Avicenna J Dent Res. 2016;8(3):e26265.
  • 2. Mahalakshmi S, Archana Shenoy M, Shubha B, Chandy CJ. Radix Entomolaris - a rare case series. SADJ. 2014;69(8):358-62.
  • 3. Solanki J, Jain R, Singh R, Gupta S,Arya A, Tomar D. Prevalence of osteosclerosis among patients visiting dental institute in rural area of western India. J Clin Diagn Res. 2015;9(8):ZC38-ZC40.
  • 4. Sisman Y, Ertas ET, Ertas H, Sekerci AE. The frequency and distribution of idiopathic osteosclerosis of the Jaw. Eur J Dent. 2011;5:409-414.
  • 5. Sachdeva S, Phadnaik MB. Three-rooted mandibular first molar: A consideration in periodontal therapy. J Indian Soc Periodontol. 2012;16(2):286-9.
  • 6. Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular second premolar: a literature review. J Endod. 2007;33(9):1031-7.

Diagnostic considerations while utilizing intraoral periapical radiographs for diagnosing radix entomolaris

Year 2018, Volume: 43 Number: Supplement 1, 305 - 307, 29.12.2018
https://doi.org/10.17826/cumj.414872

Abstract

Radiopacity seen in periapical area in periapical radiographs can be sometimes be tricky to interpret and diagnose. Occurrence of radix entomolaris is rare in mandibular first molar and mandibular second premolar. This rare entity may probably be misdiagnosed if the practitioner does not acquire periapical radiographs using appropriate techniques. A male patient aged 28 years presented with chief complaint of decayed teeth in right lower back region of mouth. On intraoral examination, 46 was observed to be decayed and non tender on vertical percussion. An intraoral periapical radiograph (IOPA) was advised for the same. Well defined radiopacities were observed in between roots of 46 and 45. A tentative diagnosis of idiopathic osteosclerosis was made. However, since the radiopaque structure resembled that of a tooth root, another IOPA at a different horizontal angulation was taken. To our surprise, 46 exhibited an additional supernumerary root. Also, the presence of an additional lingual root in relation to 45 was noted.The present case report demonstrates the impact on interpretation/diagnosis an angulation difference can make while taking a periapical radiograph through example of case which exhibited the rare occurrence of radix entomolaris and concurrent additional root in second mandibular premolar.

References

  • 1. Movassagh Z, Ghahari P, Heidari N. Radix Entomolaris: a case report. Avicenna J Dent Res. 2016;8(3):e26265.
  • 2. Mahalakshmi S, Archana Shenoy M, Shubha B, Chandy CJ. Radix Entomolaris - a rare case series. SADJ. 2014;69(8):358-62.
  • 3. Solanki J, Jain R, Singh R, Gupta S,Arya A, Tomar D. Prevalence of osteosclerosis among patients visiting dental institute in rural area of western India. J Clin Diagn Res. 2015;9(8):ZC38-ZC40.
  • 4. Sisman Y, Ertas ET, Ertas H, Sekerci AE. The frequency and distribution of idiopathic osteosclerosis of the Jaw. Eur J Dent. 2011;5:409-414.
  • 5. Sachdeva S, Phadnaik MB. Three-rooted mandibular first molar: A consideration in periodontal therapy. J Indian Soc Periodontol. 2012;16(2):286-9.
  • 6. Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular second premolar: a literature review. J Endod. 2007;33(9):1031-7.
There are 6 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Vagish Kumar L Shanbhag 0000-0003-2610-0010

Publication Date December 29, 2018
Acceptance Date April 16, 2018
Published in Issue Year 2018 Volume: 43 Number: Supplement 1

Cite

MLA Shanbhag, Vagish Kumar L. “Diagnostic Considerations While Utilizing Intraoral Periapical Radiographs for Diagnosing Radix Entomolaris”. Cukurova Medical Journal, vol. 43, no. Ek 1, 2018, pp. 305-7, doi:10.17826/cumj.414872.