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. Labiopalatally , the canal is similar to the central incisor, but there is often a narrowing of the canal at the apical third level. 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.
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. Data revealed that the thickness and curvature of canals showed adequate preparation at approximately a size instrument at. Root canal system of the maxillary central incisor.


