2Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA, Selangor, Malaysia
3Faculty of Dentistry, National University of Singapore, Singapore
4Centre of Comprehensive Care Studies, Faculty of Dentistry, Universiti Teknologi MARA, Selangor, Malaysia
Abstract
This case report describes the management of a 6-year-old boy who presented with bilateral deciduous first molars (74 and 84) that contained accessory cusps, with tooth 74 also having three roots. Non-cavitated dentinal caries on both teeth were restored with stainless steel crowns, along with a personal and professional preventative oral health care regimen that included fluoride therapy and frequent recall. The case highlights the importance of performing a thorough investigation, acquiring a sound knowledge of tooth anomalies and root morphology, and demonstrating radiographic interpretation skills to allow for the identification of oral conditions and the development of diagnoses. In addition, the case also discusses factors to consider when developing a treatment plan aimed at improving a patient’s treatment outcome and long-term prognosis.
