Endodontic and Esthetic Management of a Dilacerated Maxillary Central Incisor Having Two Root Canals Using Cone Beam Computed Tomography as a Diagnostic Aid
Identifieur interne : 000481 ( Pmc/Curation ); précédent : 000480; suivant : 000482Endodontic and Esthetic Management of a Dilacerated Maxillary Central Incisor Having Two Root Canals Using Cone Beam Computed Tomography as a Diagnostic Aid
Auteurs : Sarang Sharma [Inde] ; Shibani Grover [Inde] ; Vivek Sharma [Inde] ; Dhirendra Srivastava [Inde] ; Meenu Mittal [Inde]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2014.
Abstract
Traumatic injuries to the primary dentition are quite common. When primary teeth are subjected to trauma, force transmission and/or invasion of the underlying tooth germs lying in close proximity can result in a variety of disturbances in the permanent successors. Few of these disturbances include hypoplasia, dilaceration, or alteration in the eruption sequence and pattern. Dilaceration is defined as an angulation or sharp bend or curve in the linear relationship of the crown of a tooth to its root. A rare case of maxillary left central incisor having crown dilaceration and Vertucci's type II canal configuration with symptomatic periapical periodontitis is reported. Cone beam computed tomography was used for better understanding of the anomaly and complicated root canal morphology. The tooth was successfully managed by nonsurgical root canal therapy and restoration with resin composite to restore esthetics.
Url:
DOI: 10.1155/2014/861942
PubMed: 24955260
PubMed Central: 4052148
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Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089</wicri:regionArea></affiliation></author><author><name sortKey="Sharma, Vivek" sort="Sharma, Vivek" uniqKey="Sharma V" first="Vivek" last="Sharma">Vivek Sharma</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089</wicri:regionArea></affiliation></author><author><name sortKey="Srivastava, Dhirendra" sort="Srivastava, Dhirendra" uniqKey="Srivastava D" first="Dhirendra" last="Srivastava">Dhirendra Srivastava</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral Surgery, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral Surgery, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089</wicri:regionArea></affiliation></author><author><name sortKey="Mittal, Meenu" sort="Mittal, Meenu" uniqKey="Mittal M" first="Meenu" last="Mittal">Meenu Mittal</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Pediatric Dentistry, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pediatric Dentistry, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24955260</idno><idno type="pmc">4052148</idno><idno 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Delhi 110089, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089</wicri:regionArea></affiliation></author><author><name sortKey="Grover, Shibani" sort="Grover, Shibani" uniqKey="Grover S" first="Shibani" last="Grover">Shibani Grover</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089</wicri:regionArea></affiliation></author><author><name sortKey="Sharma, Vivek" sort="Sharma, Vivek" uniqKey="Sharma V" first="Vivek" last="Sharma">Vivek Sharma</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089</wicri:regionArea></affiliation></author><author><name sortKey="Srivastava, Dhirendra" sort="Srivastava, Dhirendra" uniqKey="Srivastava D" first="Dhirendra" last="Srivastava">Dhirendra Srivastava</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral Surgery, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral Surgery, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089</wicri:regionArea></affiliation></author><author><name sortKey="Mittal, Meenu" sort="Mittal, Meenu" uniqKey="Mittal M" first="Meenu" last="Mittal">Meenu Mittal</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Pediatric Dentistry, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pediatric Dentistry, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089</wicri:regionArea></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Traumatic injuries to the primary dentition are quite common. When primary teeth are subjected to trauma, force transmission and/or invasion of the underlying tooth germs lying in close proximity can result in a variety of disturbances in the permanent successors. Few of these disturbances include hypoplasia, dilaceration, or alteration in the eruption sequence and pattern. Dilaceration is defined as an angulation or sharp bend or curve in the linear relationship of the crown of a tooth to its root. A rare case of maxillary left central incisor having crown dilaceration and Vertucci's type II canal configuration with symptomatic periapical periodontitis is reported. Cone beam computed tomography was used for better understanding of the anomaly and complicated root canal morphology. The tooth was successfully managed by nonsurgical root canal therapy and restoration with resin composite to restore esthetics.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Andreasen, Jo" uniqKey="Andreasen J">JO Andreasen</name></author><author><name sortKey="Ravn, Jj" uniqKey="Ravn J">JJ Ravn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Diab, M" uniqKey="Diab M">M Diab</name></author><author><name sortKey="Elbadrawy, He" uniqKey="Elbadrawy H">HE ElBadrawy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arenas, M" uniqKey="Arenas M">M Arenas</name></author><author><name sortKey="Barberia, E" uniqKey="Barberia E">E Barbería</name></author><author><name sortKey="Lucavechi, T" uniqKey="Lucavechi T">T Lucavechi</name></author><author><name sortKey="Maroto, M" uniqKey="Maroto M">M 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24955260</article-id><article-id pub-id-type="pmc">4052148</article-id><article-id pub-id-type="doi">10.1155/2014/861942</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Endodontic and Esthetic Management of a Dilacerated Maxillary Central Incisor Having Two Root Canals Using Cone Beam Computed Tomography as a Diagnostic Aid</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sharma</surname><given-names>Sarang</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Grover</surname><given-names>Shibani</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Sharma</surname><given-names>Vivek</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Srivastava</surname><given-names>Dhirendra</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mittal</surname><given-names>Meenu</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</aff><aff id="I2"><sup>2</sup>Department of Oral Surgery, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</aff><aff id="I3"><sup>3</sup>Department of Pediatric Dentistry, ESIC Dental College and Hospital, Sector 15, Rohini, Delhi 110089, India</aff><author-notes><corresp id="cor1">*Sarang Sharma: <email>sarang74in@yahoo.com</email></corresp><fn fn-type="other"><p>Academic Editor: Juan José Segura-Egea </p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>18</day><month>5</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>861942</elocation-id><history><date date-type="received"><day>25</day><month>2</month><year>2014</year></date><date date-type="accepted"><day>27</day><month>4</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Sarang Sharma et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Traumatic injuries to the primary dentition are quite common. When primary teeth are subjected to trauma, force transmission and/or invasion of the underlying tooth germs lying in close proximity can result in a variety of disturbances in the permanent successors. Few of these disturbances include hypoplasia, dilaceration, or alteration in the eruption sequence and pattern. Dilaceration is defined as an angulation or sharp bend or curve in the linear relationship of the crown of a tooth to its root. A rare case of maxillary left central incisor having crown dilaceration and Vertucci's type II canal configuration with symptomatic periapical periodontitis is reported. Cone beam computed tomography was used for better understanding of the anomaly and complicated root canal morphology. The tooth was successfully managed by nonsurgical root canal therapy and restoration with resin composite to restore esthetics.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>(a) Facial clinical view showing hypoplastic incisors, shortened lateral incisor crown, and mesioangularly placed canine. (b) Incisal clinical view of maxillary incisors showing acute palatal displacement of the crown in left central incisor and deficient enamel on the mesiolingual aspect of the left lateral incisor. (c) Preoperative intraoral periapical radiograph of left maxillary anterior region with anteroposterior projection. (d) Preoperative intraoral periapical radiograph of left maxillary anterior region with angulated projection.</p></caption><graphic xlink:href="CRID2014-861942.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Cross sectional CBCT images showing (a) the presence of a structure which is composed of enamel and dentin in relation to the crown of maxillary left central incisor and also a well-defined periapical radiolucency with respect to its root. (b) Axial image showing two root canals in left maxillary central incisor (c) single root with two distinct root canals, one each on the labial and palatal aspect. (d) Periapical radiolucency and perforation defect in relation to left lateral incisor.</p></caption><graphic xlink:href="CRID2014-861942.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>(a) Clinical picture showing two distinct canal openings: one labial and one palatal in the central incisor. (b) Radiographic determination of working length. (c) Postoperative periapical radiograph demonstrating completed nonsurgical root canal therapy. (d) Postoperative periapical radiograph with angulated projection.</p></caption><graphic xlink:href="CRID2014-861942.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>(a and b) Clinical and radiographic examination at 12 months revealed spontaneous eruption of canine and its more vertical placement. (c and d) Restoration of central incisor and canine with resin composite: a clinical view. (e) Restoration of central incisor and canine: a radiographic view.</p></caption><graphic xlink:href="CRID2014-861942.004"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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