Four rooted maxillary second molar is a rare condition. A research of 1,200 maxillary second molars found only 0.4% of the sample with this condition. In a tooth with two palatal roots, one of them is the normal palatal root, while the other is a supernumerary structure which can be found mesiolingually (radix mesiolingualis) or distolingually (radix distolingualis). Objective: to describes a successful root canal treatment of a maxillary second molar with radix mesiolingualis. Final restoration using a short fiber-reinforced composite as the bottom structure under the onlay composite direct restoration. Case report: A 39-year old female patient complained of pain continuously for the past two weeks in her right maxillary second molar (tooth #17). Clinical examination revealed a deep mesioocclusal caries lesion and presence of extra cusps on the palatal surface of the crown. Conclusion: Crown with extra cusps relatively larger compared to a normal crown. It could be indicated the additional palatal roots. Those variations could be identified by clinical and radiographic examination, while more accurate assessment with CBCT imaging. The right material was required to support function and strengthen the tooth after root canal treatment.
Dental trauma mostly damages the maxillary anterior teeth, affecting the individual’s esthetics, functionality, and psychological well-being. Restorative dentistry treatment is required to obtain a natural appearance based on the smile design approach. The aim of this report is to characterize the procedure of complicated cosmetic restoration of the six maxillary anterior teeth, which results in straighter and more beautiful natural-looking smiles. A 32-year-old male patient presented with multiple crown fractures in the anterior maxillary teeth, resulting in an unaesthetics smile. The patient also had a deep bite. A comprehensive aesthetics dental treatment was carried out. The dental treatment plan had to be carefully executed by considering several factors such as dental convexities and contours, re‑establishment of function, and esthetics. Smile design should always be approached as a multi-factor decision-making, which enables the doctor to treat patients using a personalized and interdisciplinary approach.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.