Comprehensive Treatment of the Infected Maxillary Lateral Incisor with an Accessory Root

Anterior teeth may have aberrant anatomical variations in the number of roots and root canals. A review of the literature was conducted using appropriate key words in major endodontic journals to identify the available reported cases as well as experimental and clinical investigations on accessory roots and root canals in anterior teeth. After retrieving the full text of related articles, cross-citations were identified, and the pooled data were then discussed. Results revealed a higher prevalence in accessory root/root canal variations in mandibular anterior teeth than in maxillary counterparts. However, maxillary incisor teeth revealed the highest tendency for accessory root/root canal aberrations caused by anomalies such as dens invaginatus and palato-gingival groove. Primary anterior teeth may also exhibit external and internal anatomical variations in the root, especially maxillary canines. Therefore, dental practitioners should thoroughly assess all teeth scheduled for root canal treatment to prevent the undesirable consequences caused by inadequate debridement of accessory configurations of the root canal system.

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“…To date, new treatment options are available that provide better potential for retaining these teeth (Yavuz et al . , Kfir et al . ).…”

Section: Literature Search Methodologymentioning

confidence: 99%

Accessory roots and root canals in human anterior teeth: a review and clinical considerations

Ahmed

Hashem

2015

Int Endodontic J

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“…Moderate grooves extend some distance apically along the root surface in a form of a shallow or fissured defect 3478111820. Complex grooves are deeply invaginated defects which involve the entire length of the root or those with separate accessory root from the main root trunk 37112021. Kogon et al reported that more than 50% of PGG extended beyond the CEJ onto the root surface of the lateral incisors: 43% of the grooves on the root extended less than 5 mm, 47% between 6 and 10 mm, and 10% more than 10 mm 9.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The prevalence rate of the labial cervical vertical groove has been reported as 3%41 to 6.5%,42 which is lower than that reported for PGG. Accessory root formation occurs most commonly in mandibular canine, premolar, and molar teeth, but it is also rarely observed in maxillary and mandibular incisor teeth 2143. Yavuz et al reported a case of accessory root in a maxillary lateral incisor 21…”

Section: Literature Reviewmentioning

confidence: 99%

Recognition and management of palatogingival groove for tooth survival: a literature review

Kim

Choi

et al. 2017

Restor Dent Endod

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Palatogingival groove (PGG) is an anomaly in the maxillary anterior teeth, often accompanied by the area of bony destruction adjacent to the teeth with no carious or traumatic history. The hidden trap in the tooth can harbor plaque and bacteria, resulting in periodontal destruction with or without pulpal pathologic change. Related diseases can involve periodontal destruction, combined endodontic-periodontal lesions, or separate endodontic and periodontal lesions. Disease severity and prognosis related to PGG depend on several factors, including location, range, depth, and type of the groove. Several materials have been used and recommended for cases of extensive periodontal destruction from PGG to remove and block the inflammatory source and recover the health of surrounding periodontal tissues. Even in cases of severe periodontal destruction, several studies have reported favorable treatment outcomes with proper management. With new options in diagnosis and treatment, clinicians need a detailed understanding of the characteristics, treatment, and prognosis of PGG to successfully manage the condition.

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“…Moreover, a buccal groove with associated deep probing was present. Especially in these cases with a complicated root canal anatomy and a diagnosis of pulp necrosis, treatment might be complex and might involve a multidisciplinary approach, including periodontal treatment (15). A case as it is presented here is a visual reminder to maintain vigilance during every stage of the endodontic procedure and expect abnormalities.…”

Section: Discussionmentioning

confidence: 99%

“…Two separate and distinct root canals were reported in 3% of maxillary central incisors by Vertucci (2). Several case reports described maxillary anterior teeth with 2 canals in 1 or 2 separate roots (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15). A case documented by Hosomi et al (16) presented with 3 canals in the maxillary central incisor.…”

mentioning

confidence: 98%

A Maxillary Central Incisor with Three Root Canals: A Case Report

Gondim¹,

Setzer²,

Zingg³

et al. 2009

Journal of Endodontics

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Comprehensive Treatment of the Infected Maxillary Lateral Incisor with an Accessory Root

Cited by 10 publications

References 8 publications

Accessory roots and root canals in human anterior teeth: a review and clinical considerations

Accessory roots and root canals in human anterior teeth: a review and clinical considerations

Recognition and management of palatogingival groove for tooth survival: a literature review

A Maxillary Central Incisor with Three Root Canals: A Case Report

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