Wednesday, September 7, 2016

Lateral incisor root canal

Lateral incisors can be relatively long given the overall size of the canal and a curve at the apex is often multiplanar. The apex may curve to both the distal and lingual , making it difficult to clean initially or impossible to retreat if the root canal is not successful. However, maxillary lateral incisor teeth with unusual morphology of root canal system are frequently reported.


These cases of variable root canal anatomy can be treated well by nonsurgical endodontic methods. The maxillary lateral incisors are a pair of upper ( maxillary) teeth that are located laterally (away from the midline of the face) from both maxillary central incisors of the mouth and medially (toward the midline of the face) from both maxillary canines. Fiber-optic illumination may, likewise, be helpful during access to this tooth.

As previously discusse lateral canals form channels of communication between the main body of the root canal and the periodontal ligament space. They arise anywhere along its length, at right. Similarly, the lateral incisor had two root canals ( labial and lingual ). One on my central incisor and one on my lateral incisor. The lateral incisor matches the shade of my other teeth but my front central incisor feels greyish.


However after permanent cementation I feel like it is distinctly grey even when on the day of. Why does my tooth hurt after root canal and Crown? How much does a tooth root canal cost? This report aims to present a successful root canal treatment of a maxillary lateral incisor with unusual palatal root dilaceration (diagnosed with cone beam computed tomography) in which the access cavity was prepared from the labial aspect of the tooth to provide a straight line access to the root canal system which was instrumented using OneShape rotary file system and precurved K‑files up to size under copious irrigation of 2.

What is a lateral tooth? NaOCl using a side‑vented irrigation tip. Lower central and lateral incisors - The single root of a lower incisor sometimes has canals. The tooth was clearly quite unhealthy and could not be restored. Root canal systems are commonly complex with the teeth often having lateral ramifications, extra roots or additional canals.


Molar and premolar teeth can present with the highest incidence of aberrant morphology. A thorough knowledge of expected anatomy and variations from the norm are essential when undertaking root canal therapy to ensure success. The access preparation of the lateral incisor is also begun from the palatal surface.


The root canal is wide in proportion to the root and also there is usually a distopalatal curve in the apical third of the canal. Therefore, the canal must be instrumented carefully to avoid perforation. Apical curvatures and accessory canals are common in mandibular incisors (Burns RC, Buchanan LS. Tooth Morphology and Access Openings.


Part One: The Art of Endodontics in Pathway of Pulp, 6th Ed. p. 152). Molars can be really hard to reach if the patient has a small mouth or difficulties opening very wide, which is rather common. In incisors the root canal is usually straight, and there are less room for unreachable transversal canals. Many dentists are treating this group of teeth under general assumption, that they possess single canal.


The purpose of this article is to present the treatment of lower lateral incisor with three root canals and discuss the signs of the existence of additional root canals. Summary Aberrant morphology of root canals can occur in any tooth, including maxillary lateral incisors. In the presented case, clinical examination and radiographs clearly depicted the presence of four root canals in a right maxillary lateral incisor.


Here you can see root canal anatomy of maxillary lateral incisor.

If there is not extensive loss of tooth structure, a crown could actually weaken the tooth in the critical neck area – that’s where an incisor would be most susceptible to horizontal fracture. Maxillary lateral incisors usually exhibit a single root with a single canal. Root canal configuration type (1‐3) may also occur in single‐rooted maxillary anterior teeth (Fig. 2).


Accessory canals usually branch off the main root canal somewhere in the apical region. Teeth that have cracks in them will benefit a lot from a full crown restoration, which most of the time will prevent the tooth from cracking in half and then needing to be extracted (removed). If a tooth is discolore but otherwise no cracks or large fillings or cavities, then root canal followed by veneer or crown.

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