It has been a challenge to establish the accurate diagnosis of developmental tooth anomalies based on periapical radiographs. Recently, three-dimensional imaging by cone beam computed tomography has provided useful information to investigate the complex anatomy of and establish the proper management for tooth anomalies. The most severe variant of dens invaginatus, known as dilated odontome, is a rare occurrence, and the cone beam computed tomographic findings of this anomaly have never been reported for an erupted permanent maxillary central incisor. The occurrence of talon cusp occurring along with dens invaginatus is also unusual. The aim of this report was to show the importance of cone beam computed tomography in contributing to the accurate diagnosis and evaluation of the complex anatomy of this rare anomaly.
4-Hydroxycoumarins ; Cone-Beam Computed Tomography ; Dental Pulp ; Endodontics ; Imaging, Three-Dimensional ; Incisor ; Tooth ; Tooth Abnormalities

Objective: To detect etiological agents and pathological changes associated with polyserositis in commercial layer chicken. Methods: Ten commercial layer flocks which had a sudden increase in mortality and a drop in egg production with lesions suggestive of colisepticemia were investigated. Flock details and pathological changes were recorded in affected flocks to assess the prevalence and impact of polyserositis on commercial layer chicken. Trachea, heart blood, liver, oviduct, cloacal swab, poultry house environment samples, water and feed samples were screened for bacteriological agents. Pooled tissue (trachea, lung, spleen, caecal tonsil, kidney and oviduct) samples from colisepticemia cases were screened for viral agents. Serum samples collected from affected flocks were screened for Newcastle disease virus, infectious bronchitis virus and egg drop syndrome-76 virus by haemagglutination inhibition test, and for Mycoplasma gallisepticum and Mycoplasma synoviae by enzyme linked immunosorbent assay. Results: On necropsy examination of dead birds, fibrinous polyserositis and congestion of various visceral organs were noticed. Microscopically, deciliation and hypertrophy of mucus glands showed in the tracheal epithelium. Vascular derangements and infiltration of inflammatory cells showed in the lungs and air sac. Fibrinous polyserositis, focal necrosis and infiltration of inflammatory cells showed in parenchyma of heart and liver. Inflammatory changes were observed in the ovary and oviduct. Escherichia coli (E. coli) was isolated as a pure culture from 108 birds and from the poultry house environment of the ten affected flocks. Among the eight E. coli serotypes, identified serotypes O

Adiponectin/genetics* ; Biomarkers ; Diabetes Mellitus, Type 2/genetics* ; Humans ; Insulin ; Insulin Resistance/genetics* ; Polymorphism, Genetic