Management Of Maxillary Lateral Incisor Research Articles

Endodontic management of thin and double-curved root of maxillary lateral incisor

The present case report discusses the endodontic management of maxillary lateral incisor with very thin and double-curved root, also known as bayonet-shaped root. A young healthy male patient presented with acute pain in the left maxillary incisor. Clinical examination and radiographic analysis confirmed the diagnosis of previously treated pulp and symptomatic apical periodontitis. Endodontic treatment was carried out with hand and rotary instruments, and the canal was filled using lateral compaction technique. Six-month radiographic follow-up showed good signs of periapical healing. Technique to prepare and obturate such thin and double-curved root requires preoperative measurement of canal curvature angles with creation of glide path to the apex to maintain the taper of the canal and to avoid mishaps.

Conservative Management of a Maxillary Lateral Incisor with an Apical Third Root Perforation: A Case Report Apical Third Root Perforation: A Case Report

Perforation is one of iatrogenic factors responsible for endodontic failure. Root canal perforation can occur at the cervical, mid-root, or apical levels. Non-surgical (conservative) perforation repair offers less tissue destruction and easy isolation during treatment. Objective: To explain the management of apical third root perforation using the conservative technique. Case Report: This case report describes a 29-year-old patient who came for management of right maxillary lateral incisor with apical third root perforation on the labial aspect. The location of apical third root perforation was evaluated using cone beam computed tomography (CBCT). Root perforation was sealed using mineral trioxide aggregate (MTA). MTA was applied in conservative technique with hand filling. MTA was dispensed into the original canal while maintaining the patency of the perforated canal, followed by dispensed of MTA into the perforated canal. Conclusion: Root perforation should be identified as soon as possible and could be easily examined using CBCT. Non-surgical root perforation treatment is recommended in intact periodontal attachment and in absence of inherent complication. Repairing the root perforation promote the proper healing of the periapical tissue and increase the success rate of retreatment.

Endodontic treatment of rare anatomical complexity, two canals in maxillary lateral incisor: A case report

Maxillary lateral incisors classically has configuration of one root with one canal. However, variation in anatomy and morphology is not an exception. Radiographs from different angulations specially mesial and distal are critical in such cases of atypical root canal anatomy, although more precision can be expected with operating microscope and cone-beam computerized tomography (CBCT). Meticulous knowledge and careful diagnosis of canal configurations, developmental anomalies and careful pretreatment assessment of radiographs is essential. This case report enlightens the need for consideration during endodontic management of maxillary lateral incisors. Keywords: Maxillary lateral incisor, Two canals, Endodontic management.

Nonsurgical endodontic management of maxillary lateral incisor with dens invaginatus and periradicular lesion

Dens invaginatus is a developmental malformation resulting from invagination of the tooth crown or root before calcification has occurred. It can range from a deep fissure or pit on the lingual surfaces of anterior teeth to an occlusal pit on the posterior teeth. This article presents a case of type II dens in dente in a 14-year-old female patient, where the invagination extends beyond the cementoenamel junction in maxillary lateral incisor with a large periradicular lesion. Usually, an anomaly such as dens invaginatus remains unnoticed by the patient until any clinical sign appears. Root canal treatment of such teeth with complex root canal anatomy can be difficult because infected pulpal tissues may remain in inaccessible areas of the canal. Hence, it is important to identify this anomaly and manage it as early as possible. In the present case, a nonsurgical root canal treatment of the invagination was performed. The treatment of invagination resulted in resolution of a substantial periradicular lesion.

Management of maxillary lateral incisor: Canine transposition along with maxillary canine impaction on the contralateral side

This is a case of 24 years 5-month-old female whose chief complaint was irregularly arranged front teeth. The clinical and radiographical examination revealed pleasing profile, Angle's Class I molar relationship, complete transposition of maxillary right lateral incisor and canine along with impacted left maxillary canine and retained deciduous canine. Maximal band tension 0.022″ × 0.028″ appliance was placed. Transposed right maxillary canine and lateral incisor as well as impacted left maxillary canine was aligned in the dental arch. The total treatment time taken was 24 months, which was followed by a lingual-bonded canine-to-canine retainer.

Esthetic and Non-Surgical Endodontic Management of Maxillary Lateral Incisor with two Root Canals

The success of endodontic therapy requires knowledge of the internal and external dental anatomy and its variations in presentation. Aberrant morphology of root canals can occur in any tooth, including maxillary lateral incisors. The internal anatomy of the maxillary lateral incisor is well known and usually presents with one root and one radicular canal system. This case report describes a nonsurgical endodontic treatment of a maxillary lateral incisor with two roots canal systems, demonstrated by clinical and radiographic examinations.

Non-surgical management of immature maxillary lateral incisor with palato-gingival groove with MTA

Palato-gingival groove is a developmental anomaly often affecting the maxillary lateral incisor. The aim of this presentation is to describe the clinical management of a maxillary lateral incisor tooth with a palato-gingival groove with perio-endo lesion having immature apex. Despite complex anatomy, this case was managed by using Mineral Trioxide Aggregate plug technique with as a non-surgical endodontic treatment. The tooth was functional without any complication on the basis of regular clinical and radiological evaluation. DOI: http://dx.doi.org/10.3329/updcj.v2i2.15534 Update Dent. Coll. j: 2012; 2 (2): 38-41

Maxillary lateral incisors with two canals and two separate curved roots

Variation in the roots and root canal anatomy seems to be the norm rather than an exception. For a successful endodontic treatment, a clinician should have a thorough knowledge of the internal and external dental anatomy and its variations. Maxillary lateral incisors usually exhibit single canal with a single root. In this case, clinical examination and radiographs clearly demonstrates the presence of two root canals with two separate curved roots. This case report emphasizes the need for attention during endodontic management of maxillary lateral incisors.

Endodontic and Esthetic Management of Maxillary Lateral Incisor Fused to a Supernumerary Tooth Associated with a Talon Cusp by Using Spiral Computed Tomography as a Diagnostic Aid: A Case Report

The aim of this case report is to present an endodontically and esthetically managed maxillary left lateral incisor fused to a supernumerary tooth associated with a talon cusp. This case report describes a multidisciplinary approach involving endodontic and restorative considerations for a successful, functional, and esthetic rehabilitation of the fused tooth. In the present case, we have used spiral computed tomography for better understanding of the complicated root canal morphology of the fused tooth and successful management of this rare case.