Tuesday, January 14, 2020

Maxillary lateral incisor root canal

Why does my tooth hurt after root canal and Crown? How much does a tooth root canal cost? However, maxillary lateral incisor teeth with unusual morphology of root canal system are frequently reported.


What is a lateral tooth? These cases of variable root canal anatomy can be treated well by nonsurgical endodontic methods.

Fiber-optic illumination may, likewise, be helpful during access to this tooth. The maxillary lateral incisors are a pair of upper 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. Prognosis of a root ‑filled tooth mainly depends on adequate debridement of the root canal system while maintaining the original root canal shape after instrumentation. This report presents endodontic management of a maxillary lateral incisor with an unusual palatal root dilaceration. 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. As an endodontist who sees patients on a referral basis, treating a central incisor is a relatively rare occasion unless the etiology is traumatic in origin. In these cases, the patient is usually younger, and this poses its own challenges with large canals and incompletely developed root ends.

Radiograph of a maxillary central incisor , a lateral canal is revealed after placement of the root filling. LOCATION OF APICAL FORAMINA The majority of endodontists consider that the apical extent of canal preparation should be determined by the position of the apical constriction in the region of the dentine-cementum junction ( Fig. ). This report aims to present a successful root canal treatment of a maxillary lateral incisor with unusual palatal root dilaceration diagnosed with CBCT. Maxillary lateral incisors can have various configurations of root canals, especially in the Turkish population. Following are three treatment cases of maxillary lateral incisors with anatomical variations of root canal system. The maxillary central incisor is a human tooth in the front upper jaw, or maxilla, and is usually the most visible of all teeth in the mouth.


It is located mesial (closer to the midline of the face) to the maxillary lateral incisor. As with all incisors, their function is for shearing or cutting food during mastication (chewing). This paper reports a case of gemination in a maxillary lateral incisor with two root canals and crown- root dilaceration.


A 16-year-old male patient was referred for endodontic treatment of the maxillary left lateral incisor and evaluation of esthetic and functional complaints in the anterior region. Here you can see root canal anatomy of maxillary lateral incisor. Endodontic retreatment of a maxillary first premolar with atypical anatomy and previously separated instruments.


The root of the maxillary central incisor is often bulkier than the lateral with cross-sectional anatomy varying from triangular, circular or oval in shape. The canal is often tapering towards the apex in mature teeth with minimal curvatures in the apical portion (Fig. 1 ). 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).


Independent studies consistently report that maxillary lateral incisors have single root canals. However, there are reports of maxillary lateral incisors with two or three canals.

Root canal morphology has been studied extensively and low incidences of lateral incisor with unusual root formation and complex root formation and complex root system is fortunate, as their treatment can be complicated. Endodontic failure will be seen with tooth having missed and accessory canal. A 37-yr-old male presented with a symptomatic maxillary right lateral incisor that had previous root canal therapy. The periapical radiograph revealed the possibility. These are thought to be the result of abnormal development of the tooth and root.


The C:R (crown: root ) ratio is less compared to the maxillary central incisor (the root of the maxillary lateral incisor is longer in relation to the crown on the maxillary lateral incisor ). Facial Outline of Crown. The crest of curvature labially is located in the cervical third of the crown. Treatment of severely dilacerated maxillary central incisors is a challenge, chiefly due to the difficult position and abnormality of the root. Trauma is a common cause of root dilacerations, particularly in the maxillary anterior region, and various treatment approaches may be necessary — including orthodontic, surgical, endodontic and restorative therapies.


The most affected teeth were the maxillary permanent lateral incisors. In addition, affected in primary dentition in both the maxilla and mandible are central incisors, canines, and the molar although these cases are very rare.

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