Endodontic-periodontal management of two rooted maxillary lateral incisor associated with complex radicular lingual groove by using spiral computed tomography as a diagnostic aid: a case report

Abstract

The key to achieving favourable results in this particular type of developmental anomaly is accurate diagnosis and treatment planning. The health of the periapical osseous tissues appears to be the provital factor for tooth retention. A favourable outcome can only be achieved with a comprehensive treatment approach that effectively manages all local factors that are contributing to the disease process.

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

“…, Gandhi et al . ). The application of NaOCl at >3% concentration and ultrasonic irrigation may be beneficial (Low & Chan , Schwartz et al .…”

“…The root canal system of double-rooted incisors having a palato-gingival groove shows considerable variations (Table S4). Some authors reported the successful detection of two root canals in the main and accessory roots (Peikoff et al 1985, Greenfeld & Cambruzzi 1986, Gu 2011, whereas others were unable to find a patent root canal space in the accessory root even with 3D radiographic imaging (Sch€ afer et al 2000, Yavuz et al 2008, Gandhi et al 2011.…”

“…Endodontic management. The treatment of doublerooted/canalled anterior teeth with palato-gingival grooves has not been evaluated in a controlled investigation, but multiple case reports describe treatment modalities ranging from RCT of both roots/root canals followed by periodontal treatment including curettage to resection of the accessory root, odontoplasty and application of autogenous bone grafts or freeze-dried bone allografts and enamel matrix derivative (Sch€ afer et al 2000, Low & Chan 2004, Schwartz et al 2006, Yavuz et al 2008, Gandhi et al 2011. The application of NaOCl at >3% concentration and ultrasonic irrigation may be beneficial (Low & Chan 2004, Schwartz et al 2006, especially if the canal is C-shaped (Schwartz et al 2006).…”

Development anomaly and non-vitality: Two case reports

“…[16] As a result of this breach in the epithelial attachment, the progression of bacterial products through dentinal tubules could secondarily compromise the pulp tissue, causing a primary periodontic/secondary endodontic lesion which necessitated both pulpal and periodontal therapy. [17]…”

Non-Surgical Management of Mandibular Molar with Multiple Intra–oral Sinus Tracts: A Case Report

“…Dental computerized tomography software may be superior to panoramic or intra-oral radiographs [3]. Pulp testing, culture and sensitivity testing of the fluid which is drained i.e., saliva, pus, or cystic fluid, should also be performed, to rule out fungal and syphilitic infections [4].…”