Re-treatment of a Two-rooted Maxillary Central Incisor - A Case Report

Garlapati, Roopadevi; Venigalla, Bhuvan Shome; Chintamani, Rammohan; Jayaprakash, Thumu

doi:10.7860/jcdr/2014/7780.4074

Cited by 5 publications

(8 citation statements)

References 8 publications

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“…Although much is known about the usual dental anatomy, anatomical variations may occur in any group of teeth, depending on the person. The maxillary central incisor in deciduous and permanent dentition most often presents a single root and one root canal (Cabo-Valle, 2001;Calvert 2014;Castro-Nunez, 2020;Garlapati et al, 2014;Kumar Gupta et al, 2015;Lambruschini & Camps, 1993;Levin, 2015;Lin et al, 2006;Nunes, 2020;Rao Genovese F, 2003). However, in rare situations, this group of teeth can contain more than one root or root canal, or even reveal themselves with a series of anomalous anatomies, such as: fusion, twinning, macrodontia and dens invaginatus.…”

Section: Discussionmentioning

confidence: 99%

High-resolution CBCT assessing a maxillary central incisor with root bifurcation: A case report

Carneiro,

Spin-Neto,

Salgado

et al. 2023

RSD

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Cone beam computed tomography (CBCT) is an imaging modality widely used in endodontics, since it provides three-dimensional images without superposition of structures. The maxillary central incisor usually presents a single root and one root canal, but anatomical variations can happen. The aim of the present paper is to report a high-resolution CBCT evaluation of an upper central incisor with root bifurcation. This paper shows a descriptive and qualitative assessment of high-resolution CBCT images for endodontic purposes. A 39-year-old male patient was referred to a radiologic clinic to acquire CBCT images of the right upper central incisor, as the referring clinician noticed an anatomical difference between the two upper central incisors on a panoramic radiograph and suspected of dens invaginatus. CBCT images were acquired in high resolution (voxel size of 0.08 mm) and a restricted field-of-view (4x4 cm). CBCT volume displayed an anatomical variation of the central incisor, which presented root bifurcation and two root canals, with a normal clinical crown. The present case report shows a rare diagnosis of a maxillary central incisor presenting bifurcated root with two root canals, and to the best of the authors’ knowledge, this is the first case report to present high-resolution CBCT images with disclosed acquisition protocols to diagnose a bifurcated central incisor. The documentation of unusual cases has great didact value and contributes to information propagation. In the present case, high-resolution CBCT allowed a detailed evaluation of both roots and root canals, facilitating the clinician’s diagnostic task.

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Section: Discussionmentioning

confidence: 99%

High-resolution CBCT assessing a maxillary central incisor with root bifurcation: A case report

Carneiro,

Spin-Neto,

Salgado

et al. 2023

RSD

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“…Radiographic examination is an important part in diag-nosis and treatment planning [15] . Periapical radiographs with variations of angulation can be obtained to increase their accuracy in identifying anatomical anomalies [16] . However, conventional radiography offers limited information because it provides a two-dimensional image and there is a possibility of distortion and superimposition of structures.…”

Section: Discussionmentioning

confidence: 99%

Maxillary lateral incisor with four root canals: A rare case report

Sharma¹,

Bansal²,

Singha³

2020

Int. J. Appl. Dent. Sci.

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The objective of the present study is to present a case report of endodontic treatment of a maxillary lateral incisor with 1 root and 4 root canals. The success of endodontic treatment requires knowledge of dental anatomy and its variations. The maxillary lateral incisor usually presents with one root canal system within one root. The incidence of 4 root canals in this tooth is rare. However, it must be taken into consideration, the clinical and radiographic evaluations during the endodontic treatment in order to enhance the diagnostic. The detection of all canals was achieved by examination of the pulp chamber floor with the help of the dental loupes as well as careful examination of intraoral radiographs.

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“…Periapical radiographs with variations of angulation can be obtained to increase their accuracy in identifying anatomical anomalies [23]. However, conventional radiography offers limited information because it provides a two-dimensional image and there is a possibility of distortion and superimposition of structures.…”

Section: Discussionmentioning

confidence: 99%

Geminated Maxillary Lateral Incisor with Two Root Canals

Romano

Souza-Flamini

Mendonça

et al. 2016

Case Reports in Dentistry

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This paper reports a case of gemination in a maxillary lateral incisor with two root canals and crown-root dilaceration. A 16-year-old male patient was referred for endodontic treatment of the maxillary left lateral incisor and evaluation of esthetic and functional complaints in the anterior region. The patient reported trauma to the anterior primary teeth. There was no spontaneous pain, but the tooth responded positively to the vertical percussion test and negatively to the pulp vitality test. Clinical examination showed esthetic and functional alterations and normal periodontal tissues. CBCT imaging confirmed the suspicion of gemination and crown-root dilaceration and also revealed the presence of two root canals and periapical bone rarefaction. The root canals were instrumented with Reciproc R40 and 1% NaOCl irrigation and were filled by lateral condensation of gutta-percha and AH Plus sealer. The tooth was definitely restored with composite resin to recover esthetics. Continued follow-up over 6 months has shown absence of pain or clinical alterations as well as radiographic image suggestive of apical repair.

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Re-treatment of a Two-rooted Maxillary Central Incisor - A Case Report

Cited by 5 publications

References 8 publications

High-resolution CBCT assessing a maxillary central incisor with root bifurcation: A case report

High-resolution CBCT assessing a maxillary central incisor with root bifurcation: A case report

Maxillary lateral incisor with four root canals: A rare case report

Geminated Maxillary Lateral Incisor with Two Root Canals

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