Endodontic treatment of a maxillary central incisor with three root canals

Sheikh-Nezami, Mahshid; Mokhber, Nima

doi:10.2334/josnusd.49.245

Cited by 12 publications

(7 citation statements)

References 15 publications

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“…Maxillary incisors typically have a single root canal that is housed in a single root. [ 7 ] Previous studies have documented anatomical variations, i.e., presence of single-root with two canals,[ 8 9 ] or double-rooted teeth[ 10 11 ] up to three canals[ 12 ] usually coexist with developmental anomalies such as gemination, fusion, or dens invaginatus. [ 13 ] The most common variation in all these recorded cases was Vertucci type IV (2-2).…”

Section: Discussionmentioning

confidence: 99%

Importance of preoperative diagnostic imaging in treatment of maxillary central incisors with Vertucci's type V root canal configuration – A report of 2 cases

Keerthana¹,

Duhan²,

Sangwan³

et al. 2021

J Conserv Dent

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Root canal system typically has a diverse canal configuration. One of the most difficult aspects of ensuring successful endodontic treatment is accurately identifying all canals found in a tooth. Diverse root canal configurations are not uncommon, even if the majority of maxillary incisors have a single root canal. One canal bifurcating into two at the apical third is exceptionally rare, with only two case reports previously reported. For the precise diagnosis of certain anatomical peculiarities, a thorough evaluation of preoperative diagnostic radiographs is highly required. As of periapical radiography, which is the most important diagnostic imaging for determining root canal anatomy, is limited by its two-dimensional nature, technological innovations such as cone beam computed tomography can be extremely beneficial. This paper emphasizes the significance of preoperative diagnostic imaging in the treatment planning of maxillary central incisors with unusual root canal morphology.

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Section: Discussionmentioning

confidence: 99%

Importance of preoperative diagnostic imaging in treatment of maxillary central incisors with Vertucci's type V root canal configuration – A report of 2 cases

Keerthana¹,

Duhan²,

Sangwan³

et al. 2021

J Conserv Dent

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“…4,10 Using magnification might also be an advantage when dealing with severe anatomic deviations. [6][7][8]17,18 In order to carry out the root canal treatment of the presented case, an operating microscope was used, at 16x and 25x magnification. This device also contributed to the success of the technical procedure, by preventing excessive wear of the dentin area and improving visibility to locate the root canals.…”

Section: Discussionmentioning

confidence: 99%

Root canal treatment of a maxillary central incisor with two root canals: A case report

Bessa¹,

Martins²,

Marques³

et al. 2019

j.rpemd

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The aim of the present study is to report a clinical case of a root canal treatment of a maxillary central incisor with two root canals. The clinical examination showed a discrete increase in the crown width of tooth 11, which responded negatively to ice sensitivity, percussion and palpation tests. The tomographic examination of tooth 11 revealed the presence of two root canals and bone rarefaction in the periapical region, thus suggesting a possible pulp necrosis and asymptomatic apical periodontitis. Local anesthesia and proper isolation were performed, followed by coronal access to the pulp chamber with the aid of an operating microscope. The working length was established at 21 mm in the distal portion and 20 mm in the mesial portion of the tooth. The root canals were mechanically prepared with the Wave One ® system and obturated using the hybrid thermo-mechanical technique and AH Plus ® sealer. The patient remained asymptomatic during the 12-month follow-up period, which suggests that the therapeutic protocol was adequate and the treatment was

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“…Surgical Loupes, Endodontic endoscopes, dental operating microscopes are some of the commercially available instruments that can help the clinicians to accomplish these goals. [6]…”

Section: Discussionmentioning

confidence: 99%

Bilateral presence of two root canals in maxillary central incisors: A rare case study

et al. 2014

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Success in root canal treatment is achieved after thorough cleaning and shaping followed by complete obturation of the canal system. Therefore, endodontic therapy requires specific and complete knowledge of the internal and external dental anatomy, and its variations in presentation. The internal anatomy of the maxillary central incisor is well-known and usually presents one root canal system. This case report describes an endodontic treatment of traumatized both maxillary central incisors with two canal systems. Knowledge of dental anatomy is fundamental for proper endodontic practice. When root canal treatment is performed, the clinician should be aware that both external and internal anatomy may be abnormal.

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Endodontic treatment of a maxillary central incisor with three root canals

Cited by 12 publications

References 15 publications

Importance of preoperative diagnostic imaging in treatment of maxillary central incisors with Vertucci's type V root canal configuration – A report of 2 cases

Importance of preoperative diagnostic imaging in treatment of maxillary central incisors with Vertucci's type V root canal configuration – A report of 2 cases

Root canal treatment of a maxillary central incisor with two root canals: A case report

Bilateral presence of two root canals in maxillary central incisors: A rare case study

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