Endodontic Management in Oculo-Facio-Cardio-Dental Syndrome: A Case Report

An Oculofaciocardiodental Syndrome: Challenges in Endodontic Treatment

“…Considering the other anomalies, such as unilateral congenital cataracts, a facial anomaly, such as a long and narrow face, and a cardiac anomaly, such as mitral valve prolapse, this patient was diagnosed with OFCD syndrome. Although open apices of canines and first premolars have been reported in most previous patients [5,6], it was not found in our patient. Macrodontia and dens invagination of maxillary right central incisor was evident in our patient which was not yet reported for OFCD syndromes.…”

“…Our patient has a root canal length of canines 38 mm. Pace et al [6] reported retreatment of an open apex mandibular canine with K-reamer veterinary instrument using crown-down technique. Working length was 40 mm.…”

Nonsyndromic Generalized Radiculomegaly of Permanent Dentition: A Rare Case Report

“…Here, we report a new instance of generalized radiculomegaly of permanent teeth and the association of OFCD syndrome with dental challenges [ 19 ]. In endodontic treatment, poor prognosis is usually in teeth with extraordinary long roots and open apices [ 14 , 30 ]. Besides, accessing the root canal system surgically should be avoided in treating lower teeth due to the flap size required to reach the apex that can damage critical anatomic structures such as the inferior alveolar nerve [ 30 ].…”

“…In endodontic treatment, poor prognosis is usually in teeth with extraordinary long roots and open apices [ 14 , 30 ]. Besides, accessing the root canal system surgically should be avoided in treating lower teeth due to the flap size required to reach the apex that can damage critical anatomic structures such as the inferior alveolar nerve [ 30 ]. Although root canal therapy is difficult in teeth with unusual lengths, special endodontic methods can be used in treating such cases [ 14 , 30 ].…”

“…Besides, accessing the root canal system surgically should be avoided in treating lower teeth due to the flap size required to reach the apex that can damage critical anatomic structures such as the inferior alveolar nerve [ 30 ]. Although root canal therapy is difficult in teeth with unusual lengths, special endodontic methods can be used in treating such cases [ 14 , 30 ]. In cases with very deep caries, the immediate treatment of them and the use of vital pulp therapy make it possible to preserve the function of the tooth and to avoid complicated endodontic procedures [ 30 ].…”