Maxillary Canine with two roots and two canals: A case report

Detalhes bibliográficos
Autor(a) principal: Victorino, Fausto Rodrigo
Data de Publicação: 2021
Outros Autores: Rocha, Isabela Silva, Lazarin , Rafael de Oliveira, Seron, Marcelo Augusto, Sivieri-Araujo, Gustavo, Almeida, Ricardo Sérgio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/12599
Resumo: Introduction: Knowledge of the anatomy and root canal system is of fundamental importance for a successful endodontic treatment. Maxillary canines unusually possess two root canals. Aim: The present study aims to present a maxillary canine with two roots and two canals through a clinical case. Case report: A male patient was referred for the treatment of a root perforation of the tooth 23. Clinical examination revealed the presence of vestibular fistula and mild pain with vertical and horizontal percussion. Through a tomographic examination, the presence of two roots and two root canals was observed in addition to a radiolucent lesion at the middle third of the roots but without perforation in the middle third. Coronary opening and the localization of the vestibular and palatal canals were performed. The root canal length was performed with Romi Apex A-15® foraminal locator and instrumentation was conducted by using Protaper Next® system. Due to the presence of fistula, calcium hydroxide manipulated with propylene glycol was used as intracanal medication for 30 days. After this period, the root canals were filled with gutta-percha and AH Plus® cement and a new tomographic examination was undertaken, which confirmed the complete filling of the root canals and the absence of root perforation. Conclusion: Given the above, endodontic professionals shall be aware of possible anatomical variations and make use of auxiliary resources when appropriate, such as cone beam computed tomography (CBCT), to ensure correct diagnosis and, consequently, a successful root canal treatment.
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spelling Maxillary Canine with two roots and two canals: A case report Canino Maxilar con dos raíces y dos conductos: Reporte de un casoCanino Superior com duas raízes e dois canais: Um relato de casoAnatomiaTomografia Computadorizada de Feixe CônicoDente caninoEndodontia.AnatomíaTomografía Computarizada de Haz CónicDiente caninoEndodoncia.AnatomyCone Beam Computed TomographyCanine teethEndodontics.Introduction: Knowledge of the anatomy and root canal system is of fundamental importance for a successful endodontic treatment. Maxillary canines unusually possess two root canals. Aim: The present study aims to present a maxillary canine with two roots and two canals through a clinical case. Case report: A male patient was referred for the treatment of a root perforation of the tooth 23. Clinical examination revealed the presence of vestibular fistula and mild pain with vertical and horizontal percussion. Through a tomographic examination, the presence of two roots and two root canals was observed in addition to a radiolucent lesion at the middle third of the roots but without perforation in the middle third. Coronary opening and the localization of the vestibular and palatal canals were performed. The root canal length was performed with Romi Apex A-15® foraminal locator and instrumentation was conducted by using Protaper Next® system. Due to the presence of fistula, calcium hydroxide manipulated with propylene glycol was used as intracanal medication for 30 days. After this period, the root canals were filled with gutta-percha and AH Plus® cement and a new tomographic examination was undertaken, which confirmed the complete filling of the root canals and the absence of root perforation. Conclusion: Given the above, endodontic professionals shall be aware of possible anatomical variations and make use of auxiliary resources when appropriate, such as cone beam computed tomography (CBCT), to ensure correct diagnosis and, consequently, a successful root canal treatment.Introducción: El conocimiento de la anatomía y el sistema de conductos radiculares es de fundamental importancia para el éxito del tratamiento de endodoncia. Los caninos maxilares tienen inusualmente dos conductos radiculares. Objetivo: El presente estudio posee como objetivo presentar un canino maxilar con dos raíces y dos canales a través de un caso clínico. Reporte de un caso: Un paciente masculino fue remitido para el tratamiento de una perforación radicular del diente 23. El examen clínico reveló la presencia de fístula vestibular y dolor leve con percusión vertical y horizontal. Al examen tomográfico se observó la presencia de dos raíces y dos conductos radiculares, además de una lesión radiolúcida en el tercio medio de las raíces, pero sin perforación en el tercio medio. Se realizó apertura coronaria y localización de los conductos vestibular y palatino. La odontometría electrónica se realizó con el localizador foraminal Romi Apex A-15® y la instrumentación se realizó con el sistema Protaper Next®. Debido a la presencia de fístula, se utilizó hidróxido de calcio manipulado con propilenglicol como medicación intracanal durante 30 días. Transcurrido este período se rellenaron los conductos radiculares con gutapercha y cemento AH Plus ® y se solicitó un nuevo examen tomográfico, que confirmó el llenado completo de los conductos radiculares y la ausencia de perforación radicular. Conclusión: Dado lo anterior, el profesional debe estar siempre atento a los posibles cambios anatómicos y, a menudo, al uso de recursos auxiliares, como la tomografía computarizada dental de haz cónico, asegurando un diagnóstico correcto y, en consecuencia, una terapia endodóntica exitosa.Introdução: O conhecimento da anatomia e do sistema de canais radiculares é de fundamental importância para o sucesso do tratamento endodôntico. Os caninos superiores raramente possuem dois canais radiculares. Objetivo: O presente estudo tem como objetivo apresentar um canino superior com duas raízes e dois canais por meio de um caso clínico. Paciente do sexo masculino foi encaminhado para tratamento da perfuração radicular do dente 23. O exame clínico revelou presença de fístula vestibular e dor leve à percussão vertical e horizontal. Ao exame tomográfico, observou-se a presença de duas raízes e dois canais radiculares, além de lesão radiolúcida no terço médio das raízes, mas sem perfuração no terço médio. Foram realizadas a abertura coronária e localização dos canais vestibular e palatino. A odontometria eletrônica foi realizada com o localizador foraminal Romi Apex A-15® e a instrumentação com o sistema Protaper Next®. Devido à presença de fístula, hidróxido de cálcio manipulado com propilenoglicol foi utilizado como medicação intracanal por 30 dias. Após esse período, os canais foram preenchidos com guta-percha e cimento AH Plus® e um novo exame tomográfico foi solicitado, o qual confirmou o preenchimento completo dos canais radiculares e a ausência de perfuração radicular. Conclusão: Diante do exposto, o profissional deve estar sempre atento às possíveis alterações anatômicas e, frequentemente, utilizar recursos auxiliares, como a tomografia computadorizada do feixe cônico, garantindo o diagnóstico correto e, consequentemente, o sucesso da terapia endodôntica.Research, Society and Development2021-02-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1259910.33448/rsd-v10i2.12599Research, Society and Development; Vol. 10 No. 2; e36410212599Research, Society and Development; Vol. 10 Núm. 2; e36410212599Research, Society and Development; v. 10 n. 2; e364102125992525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/12599/11365Copyright (c) 2021 Fausto Rodrigo Victorino; Isabela Silva Rocha; Rafael de Oliveira Lazarin ; Marcelo Augusto Seron; Gustavo Sivieri-Araujo; Ricardo Sérgio Almeidahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessVictorino, Fausto RodrigoRocha, Isabela SilvaLazarin , Rafael de OliveiraSeron, Marcelo AugustoSivieri-Araujo, GustavoAlmeida, Ricardo Sérgio2021-03-02T09:32:39Zoai:ojs.pkp.sfu.ca:article/12599Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:34:07.764593Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Maxillary Canine with two roots and two canals: A case report
Canino Maxilar con dos raíces y dos conductos: Reporte de un caso
Canino Superior com duas raízes e dois canais: Um relato de caso
title Maxillary Canine with two roots and two canals: A case report
spellingShingle Maxillary Canine with two roots and two canals: A case report
Victorino, Fausto Rodrigo
Anatomia
Tomografia Computadorizada de Feixe Cônico
Dente canino
Endodontia.
Anatomía
Tomografía Computarizada de Haz Cónic
Diente canino
Endodoncia.
Anatomy
Cone Beam Computed Tomography
Canine teeth
Endodontics.
title_short Maxillary Canine with two roots and two canals: A case report
title_full Maxillary Canine with two roots and two canals: A case report
title_fullStr Maxillary Canine with two roots and two canals: A case report
title_full_unstemmed Maxillary Canine with two roots and two canals: A case report
title_sort Maxillary Canine with two roots and two canals: A case report
author Victorino, Fausto Rodrigo
author_facet Victorino, Fausto Rodrigo
Rocha, Isabela Silva
Lazarin , Rafael de Oliveira
Seron, Marcelo Augusto
Sivieri-Araujo, Gustavo
Almeida, Ricardo Sérgio
author_role author
author2 Rocha, Isabela Silva
Lazarin , Rafael de Oliveira
Seron, Marcelo Augusto
Sivieri-Araujo, Gustavo
Almeida, Ricardo Sérgio
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Victorino, Fausto Rodrigo
Rocha, Isabela Silva
Lazarin , Rafael de Oliveira
Seron, Marcelo Augusto
Sivieri-Araujo, Gustavo
Almeida, Ricardo Sérgio
dc.subject.por.fl_str_mv Anatomia
Tomografia Computadorizada de Feixe Cônico
Dente canino
Endodontia.
Anatomía
Tomografía Computarizada de Haz Cónic
Diente canino
Endodoncia.
Anatomy
Cone Beam Computed Tomography
Canine teeth
Endodontics.
topic Anatomia
Tomografia Computadorizada de Feixe Cônico
Dente canino
Endodontia.
Anatomía
Tomografía Computarizada de Haz Cónic
Diente canino
Endodoncia.
Anatomy
Cone Beam Computed Tomography
Canine teeth
Endodontics.
description Introduction: Knowledge of the anatomy and root canal system is of fundamental importance for a successful endodontic treatment. Maxillary canines unusually possess two root canals. Aim: The present study aims to present a maxillary canine with two roots and two canals through a clinical case. Case report: A male patient was referred for the treatment of a root perforation of the tooth 23. Clinical examination revealed the presence of vestibular fistula and mild pain with vertical and horizontal percussion. Through a tomographic examination, the presence of two roots and two root canals was observed in addition to a radiolucent lesion at the middle third of the roots but without perforation in the middle third. Coronary opening and the localization of the vestibular and palatal canals were performed. The root canal length was performed with Romi Apex A-15® foraminal locator and instrumentation was conducted by using Protaper Next® system. Due to the presence of fistula, calcium hydroxide manipulated with propylene glycol was used as intracanal medication for 30 days. After this period, the root canals were filled with gutta-percha and AH Plus® cement and a new tomographic examination was undertaken, which confirmed the complete filling of the root canals and the absence of root perforation. Conclusion: Given the above, endodontic professionals shall be aware of possible anatomical variations and make use of auxiliary resources when appropriate, such as cone beam computed tomography (CBCT), to ensure correct diagnosis and, consequently, a successful root canal treatment.
publishDate 2021
dc.date.none.fl_str_mv 2021-02-19
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/12599
10.33448/rsd-v10i2.12599
url https://rsdjournal.org/index.php/rsd/article/view/12599
identifier_str_mv 10.33448/rsd-v10i2.12599
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/12599/11365
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 2; e36410212599
Research, Society and Development; Vol. 10 Núm. 2; e36410212599
Research, Society and Development; v. 10 n. 2; e36410212599
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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