Geminated maxillary lateral incisor with two root canals
Autor: | Antônio Miranda Cruz-Filho, Luis Eduardo Souza-Flamini, Nayara Romano, Isabela Lima Mendonça, Ricardo Gariba Silva |
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Rok vydání: | 2016 |
Předmět: |
Pulp vitality test
Radiography Dentistry Case Report 030209 endocrinology & metabolism Physical examination TOMOGRAFIA Anterior region 03 medical and health sciences 0302 clinical medicine stomatognathic system Medicine General Dentistry Maxillary lateral incisor Orthodontics medicine.diagnostic_test business.industry RK1-715 030206 dentistry medicine.disease stomatognathic diseases Gemination Maxillary left lateral incisor business Dilaceration |
Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Case Reports in Dentistry, Vol 2016 (2016) Case Reports in Dentistry |
Popis: | 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. The patient reported trauma to the anterior primary teeth. There was no spontaneous pain, but the tooth responded positively to the vertical percussion test and negatively to the pulp vitality test. Clinical examination showed esthetic and functional alterations and normal periodontal tissues. CBCT imaging confirmed the suspicion of gemination and crown-root dilaceration and also revealed the presence of two root canals and periapical bone rarefaction. The root canals were instrumented with Reciproc R40 and 1% NaOCl irrigation and were filled by lateral condensation of gutta-percha and AH Plus sealer. The tooth was definitely restored with composite resin to recover esthetics. Continued follow-up over 6 months has shown absence of pain or clinical alterations as well as radiographic image suggestive of apical repair. |
Databáze: | OpenAIRE |
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