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International Journal of Oral Science logoLink to International Journal of Oral Science
. 2009 Dec;1(4):224–228. doi: 10.4248/IJOS09056

Impacted Lower Third Molar Fused with a Supernumerary Tooth —Diagnosis and Treatment Planning Using Cone-Beam Computed Tomography

Osny Ferreira-Junior 1,*, Luciana Dorigatti de Ávila 1, Marcelo Bonifácio da Silva Sampieri 1, Eduardo Dias-Ribeiro 1, Wei-liang Chen 2, Song Fan 2,*
PMCID: PMC3470106  PMID: 20690426

Abstract

This paper reported a case of fusion between an impacted third molar and a supernumerary tooth, in which a surgical intervention was carried out, with the objective of removing the dental elements. The panoramic radiography was complemented by the Donovan's radiographic technique; but because of the proximity of the dental element to the mandibular ramus, it was not possible to have a final fusion diagnosis. Hence, the Cone-Beam Computed Tomography—which provides precise three-dimensional information—was used to determinate the fusion diagnosis and also to help in the surgical planning. In this case report we observed that the periapical, occlusal and panoramic were not able to show details which could only be examined through the cone-beam computed tomography.

Keywords: third molar, supernumerary tooth, oral surgery, cone-beam computed tomography

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