A Rare Case of Nonsyndromic Generalized Radiculomegaly with a Literature Review

Abstract

Radiculomegaly is a rare condition involving elongated tooth roots. This condition has significant clinical implications and has been associated with syndromes such as oculofaciocardiodental syndrome. However, only a few nonsyndromic cases of radiculomegaly have been reported. Here, we report a case of nonsyndromic radiculomegaly in a Saudi individual. A subsequent review of the literature suggests endodontic management modalities for individuals with the dental findings demonstrated in the present case.

Nonsyndromic Generalized Radiculomegaly of Permanent Dentition: A Rare Case Report

“…However, both cases reported a V-shaped maxilla in their patients. Unlike our patient, who presented with a U-shaped maxillary arch [ 12 , 18 ]. It is worth mentioning that crowding in the upper anterior segment was noted in the comparable cases.…”

“…Then, two more cases of radiculomegaly were described in the literature after Hayward's report [ 6 , 7 ]. Only a few cases of nonsyndromic/nonfamilial radiculomegaly have been reported in the literature since the description of OFCD in 1996, and all of them are not related to OFCD syndrome [ 8 , 12 , 18 ]. Similar to our case, the patient reported by Kemoli and Junior presented with a dental class III molar relationship [ 12 ].…”

“…Similar to our case, the patient reported by Kemoli and Junior presented with a dental class III molar relationship [ 12 ]. Likewise, Al-Obaida noted that the patient in his case has a protruded mandible [ 18 ]. However, both cases reported a V-shaped maxilla in their patients.…”

“…To date, only a few nonsyndromic/nonfamilial radiculomegaly cases have been reported in the literature [ 8 , 12 , 18 ]. This case report aims to report a rare case of a nonsyndromic/nonfamilial generalized radiculomegaly case of an 18-year-old Saudi male patient and to investigate the association of OFCD syndrome with dental challenges.…”

Technical adaptations of manual and rotary instruments for preparing a giant canine tooth

“…Treatment of dental anomalies is a potential endodontic challenge (Barletta, Grecca, Wagner, Ferreira, & Lopez, 2010). Radiculomegaly is an anomaly that the teeth have extremely large roots, and it may be isolated (Al-Obaida, 2020;Wilkie & Chambers, 1990) or correlated with other pathologies (Gorlin, Marashi, & Obwegeser, 1996;Marashi & Gorlin, 1990;. In 1990, Marashi and Gorlin related radiculomegaly of canines with congenital cataracts.…”