Retreatment of the maxillary lateral incisor with two root canals

Authors

  • Carlos Eduardo da Silveira Bueno Pontifícia Universidade Católica de Campinas
  • Carlos Eduardo Fontana Pontifícia Universidade Católica de Campinas
  • Rodrigo Sanches Cunha Pontifícia Universidade Católica de Campinas
  • Cláudia Fernandes de Magalhães Silveira Pontifícia Universidade Católica de Campinas
  • Felipe Davini Pontifícia Universidade Católica de Campinas
  • Carine Piccin de Freitas Pontifícia Universidade Católica de Campinas

Keywords:

Anatomy, Diagnosí, oral, Incisor, Microscopy

Abstract

In order to provide endodontic treatment, it is imperative to know the internal anatomy of the tooth, since it is not exactly like the external anatomy. The literature shows that most of the maxillary lateral incisors are single-rooted and have just one root canal. However, in rare cases, there may be more than one root canal. Today, the dental operating microscope is used in many stages of an endodontic treatment to facilitate the resolution of unusual cases, such as these with anatomical variations. The aim of this study was to describe the endodontic
retreatment of a left maxillary lateral incisor, in which a root canal left without appropriate treatment caused the first treatment to fail. This problem was solved with the magnification and lighting provided by the microscope, allowing complete sanitation of the root canals. In conclusion, in addition to allowing a better knowledge and study of the internal anatomy of the tooth, the dental operating microscope can help in the treatment of teeth with varied anatomies, ensuring a better prognosis for the endodontic treatment.

Downloads

Download data is not yet available.

References

Bramante CM. Anatomia das cavidades pulpares: aspectos de interesse à endodontia. São Paulo: Pedro Primeiro; 2000. p.10.

Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol Oral Radial Endod. 1984; 58(5):589-99.

Pecara JD, Saquy PC, Souza Neto MD, Cruz Filho AM. Morfologia dos dentes humanos anteriores superiores: dimensões, direções das raízes e sistema de canais radiculares. Rev lnst Ciênc Saúde. 1991; 9(1) 5-8.

De Deus. Endodontia. Rio de Janeiro: Medsi; 1992. p.12.

Jung M. Endodontic treatment of dens invaginatus type Ili with three root canais and open apical foramen. lnt Endod J. 2004: 37(3):205-13.

Wong M. Treatment considerations in a geminated maxillary lateral incisor. J Endod. 1991; 17(4):179-81

Thompson BH, Portell FR, Hartwell GR. Two root canais in a maxillary lateral incisor. J Endod. 1985; 11(8): 353-5.

Collins IJ. Maxillary lateral incisor with two roots. Aust Endod J. 2001; 27(1)37-8.

Fabra-Campos H. Failure of endodontic treatment due to a palatal gingival groove in a maxillary lateral incisor with talon cusp and two root canais. J Endod. 1990; 16(7):342-5.

Demartis P, Dessl e, Cotti M, Cotti E. Endodontic treatment and hypotheses on an unusual case of dens invaginatus. J Endod. 2009; 35(3):417-21.

Walvekar SV, Behbehani JM. Three root canais and dens formation in a maxillary lateral incisor: a case report J Endod. 1997; 23(3) 185-6

Stival EMS, Stival Júnior MC. Incisivo lateral superior permanente com dois canais radiculares. Rev Paul Odontol. 1998; 20(1)4-6.

Pereira AJA, Fidel RAS, Fidel SR. Incisivo lateral superior com dois canais radiculares: fusao, geminaçao ou dens invaginatus7 Braz Dent J. 2000; 11(2) 141-6.

Coutinho Filho T, La Cerda RS, Gurgel Filho ED, de Deus GA, Magalhães KM. The influence of the surgical operating microscope in locating the mesiolingual canal orifice: a laboratory analysis. Braz Oral Res. 2006; 20(1) 59-63. Epub 2006 May 22.

Baldassari-Cruz LA, Lilly JP, Rivera EM. The influence of dental operating microscope in locating the mesiolingual canal orifice. Oral Surg Oral Med Oral Pathol Oral Radial Endod. 2002; 93(2):190-4.

Carvalho MCC, Zuolo ML. Orifice locating with a microscope. J Endod. 2000; 26(9) 523-4

Cunha RS, Fontana CE, Silveira CFM, Miguita KB, Martin AS, Bueno CES. Canal mesio central em pri­ meiro moar inferior. Rev Ciênc Méd. 2005; 14(4): 383-8

Published

2009-06-30

How to Cite

Bueno, C. E. da S., Fontana, C. E., Cunha, R. S., Silveira, C. F. de M., Davini, F., & Freitas, C. P. de. (2009). Retreatment of the maxillary lateral incisor with two root canals. Revista De Ciências Médicas, 18(3). Retrieved from https://seer.sis.puc-campinas.edu.br/cienciasmedicas/article/view/643

Issue

Section

Relato de Caso