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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2026, vol. 32, issue3
Subject Area: Dental Medicine
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DOI: 10.5272/jimab.2026323.6991
Published online: 29 July 2026
Case report
J of IMAB. 2026 Jul-Sep;32(3):6991-6995
GENERALIZED RADICULOMEGALY OF PERMANENT DENTITION, ESPECIALLY MAXILLARY CANINES. A CASE REPORT
Vesela Hristova
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Department of Conservative Dentistry and Oral Pathology, Faculty of Dental Medicine, Medical University - Varna, Bulgaria.
ABSTRACT:
Radiculomegaly is a rare dental anomaly characterized by abnormally elongated tooth roots, most commonly associated with syndromic conditions such as oculofaciocardiodental (OFCD) syndrome. Generalized radiculomegaly in the absence of systemic findings is exceptionally rare, particularly in male patients. I report the case of a 62-year-old Bulgarian male who presented with dental hypersensitivity and localized pain in the left mandibular region. Clinical examination revealed multiple missing teeth, generalized tooth wear, and retained permanent teeth with elongated crowns. Panoramic radiography and cone beam computed tomography (CBCT) revealed generalized root elongation involving multiple teeth in both arches. The maxillary canines showed the most pronounced elongation, with roots measuring up to 35.62 mm. No clinical signs of syndromic conditions such as OFCD were present, and the patient's medical and family history were unremarkable. The purpose of this article is to present a case of a non-syndromic Bulgarian male patient diagnosed with an occurrence of Radiculomegaly (Root Gigantism) affecting the permanent dentition, especially the maxillary canine.
Conclusion: Dentists need to be informed of the clinical and radiographic features of different dental anomalies, especially radiculomegaly. The challenges faced dentist include repairing the root canals, extracting and/or moving the teeth orthodontically.
Keywords: dental anomaly, elongated roots, maxillary canines, permanent dentition, tooth length, non-syndromic,
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Please cite this article as: Hristova V. Generalized radiculomegaly of permanent dentition, especially maxillary canines. A case report. J of IMAB. 2026 Jul-Sep;32(3):6991-6995. [Crossref - 10.5272/jimab.2026323.6991]
Correspondence to: Vesela Hristova, Department of Conservative Dentistry and Oral Pathology, FDM, Medical University, Varna; 84, Tzar Osvoboditel Boul. 9002, Varna, Bulgaria. E-mail: vesseladobreva@abv.bg
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Received: 15 October 2025
Published online: 29 July 2026