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Article: Volume 42 Number 2 Page 126 - March 2015

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  Dent Update 2015; 42: 126-128

Restorative dentistry:  The Value of Cone Beam CT in Assessing and Managing a Dilated Odontome of a Maxillary Canine

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Abstract: A case of an unusual anomaly in a maxillary canine is described. A deep enamel invagination resulted in pulpal necrosis, longstanding infection and development of an associated radicular cyst. Diagnostic X-ray imaging was invaluable in demonstrating the complex root anatomy of the dilated odontome. In particular, a cone beam CT scan helped in the formulation of an appropriate treatment plan.

Clinical relevance: Three-dimensional imaging using cone beam CT was valuable in this case to demonstrate the complicated anatomy of a rare dental anomaly, and to help plan treatment.

Author notes: Aoibheann Wall, BDS, MFD RCSI, Senior House Officer, King’s College Hospital, Suk Ng, PhD, BDS, BSc, FDS RCS(Eng), DDR RCR, Consultant Dental Maxillofacial Radiologist and Serpil Djemal, MRD RCS, FDS RCS, MSc, BDS, Consultant in Restorative Dentistry, Head of Restorative Department, King’s College Hospital, Dental Institute, Denmark Hill, London SE5 9RS, UK.

Objective: To understand routine examination and management of dilated odontomes.