Management of Mandibular Lateral Incisor with Two Roots: a Case Report

Abstract

Successful outcome of endodontic treatment depends on the identification of all root canals which in turn guarantee complete extirpation of pulp tissue, proper chemo-mechanical cleaning and shaping and three dimensional obturation of the root canal system with an inert filling material. However endodontic treatment can fail for many reasons, such as diagnostic errors, persistence of the infection in the root canal system, errors in debridement and shaping of the root canal systems, instrument fractures, poor restorations and extra roots or canals if not detected are the reasons for failure. Undetected extra roots or root canals have been considered as a major reason for failure of root canal treatment. Many of the challenges faced during root canal treatment may be directly attributed to an inadequate understanding of the canal morphology of teeth. A broad knowledge of both the external and internal anatomy of teeth is of great importance for adequate endodontic treatment. We present a case report of 2 roots in mandibular lateral incisor.

Demystifying the intricacies – a rare report of two cases of biradicular permanent mandibular lateral incisor and their endodontic management

“…According to literature search, various studies have been done to determine the internal as well as external anatomy of mandibular lateral incisors but very few cases have been reported so far regarding the presence of an extra root in permanent mandibular lateral incisor (Table 1). [8][9][10][11] We are fortunate enough to encounter two such noteworthy cases in our endodontic practice and also intend to add to the scientific literature. Such anatomical variations in the form of extra roots and root canals can be attributed to genetic as well as racial variations and diagnostic techniques used.…”

“…Scientific literature shows only four such cases have been reported literature regarding the presence of an extra root in Permanent Mandibular Lateral Incisor. [8][9][10][11] Hence, clinicians must be aware of the possible morphological variations in permanent mandibular lateral incisor with respect to number of roots and root canals.…”

A Concise Review on Calcified Canals - A Review

“…The most striking feature of the calcified body resulting is that it appears to be microscopically laminated light. A laminated pulp stone consists of layers of concentrated collagen fibers, an interfibrillar material into which mineral hydroxyapatite has been deposited (Mahajan et al, 2016).…”