Geminated Maxillary Lateral Incisor with Two Root Canals

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....

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Main Authors: Nayara Romano, Luis Eduardo Souza-Flamini, Isabela Lima Mendonça, Ricardo Gariba Silva, Antonio Miranda Cruz-Filho
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/3759021
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author Nayara Romano
Luis Eduardo Souza-Flamini
Isabela Lima Mendonça
Ricardo Gariba Silva
Antonio Miranda Cruz-Filho
author_facet Nayara Romano
Luis Eduardo Souza-Flamini
Isabela Lima Mendonça
Ricardo Gariba Silva
Antonio Miranda Cruz-Filho
author_sort Nayara Romano
collection DOAJ
description 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.
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language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-e9d92237d5bc41969b66b4f82b0428e42025-02-03T06:06:51ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/37590213759021Geminated Maxillary Lateral Incisor with Two Root CanalsNayara Romano0Luis Eduardo Souza-Flamini1Isabela Lima Mendonça2Ricardo Gariba Silva3Antonio Miranda Cruz-Filho4Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, BrazilDepartment of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, BrazilDepartment of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, BrazilDepartment of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, BrazilDepartment of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, BrazilThis 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.http://dx.doi.org/10.1155/2016/3759021
spellingShingle Nayara Romano
Luis Eduardo Souza-Flamini
Isabela Lima Mendonça
Ricardo Gariba Silva
Antonio Miranda Cruz-Filho
Geminated Maxillary Lateral Incisor with Two Root Canals
Case Reports in Dentistry
title Geminated Maxillary Lateral Incisor with Two Root Canals
title_full Geminated Maxillary Lateral Incisor with Two Root Canals
title_fullStr Geminated Maxillary Lateral Incisor with Two Root Canals
title_full_unstemmed Geminated Maxillary Lateral Incisor with Two Root Canals
title_short Geminated Maxillary Lateral Incisor with Two Root Canals
title_sort geminated maxillary lateral incisor with two root canals
url http://dx.doi.org/10.1155/2016/3759021
work_keys_str_mv AT nayararomano geminatedmaxillarylateralincisorwithtworootcanals
AT luiseduardosouzaflamini geminatedmaxillarylateralincisorwithtworootcanals
AT isabelalimamendonca geminatedmaxillarylateralincisorwithtworootcanals
AT ricardogaribasilva geminatedmaxillarylateralincisorwithtworootcanals
AT antoniomirandacruzfilho geminatedmaxillarylateralincisorwithtworootcanals