Restor Dent Endod.  2015 Feb;40(1):79-84. 10.5395/rde.2015.40.1.79.

Surgical endodontic management of infected lateral canals of maxillary incisors

Affiliations
  • 1Department of Conservative Dentistry, Kyung Hee University Dental Hospital at Gangdong, Seoul, Korea. shpark94@khu.ac.kr
  • 2Department of Conservative Dentistry, Graduate School, Kyung Hee University, Seoul, Korea.
  • 3Department of Conservative Dentistry, Kyung Hee University Dental Hospital, Seoul, Korea.
  • 4Pastel Dental Clinic, Seoul, Korea.
  • 5Oral Biology Research Institute, School of Dentistry, Kyung Hee University, Seoul, Korea.

Abstract

This case report presents surgical endodontic management outcomes of maxillary incisors that were infected via the lateral canals. Two cases are presented in which endodontically-treated maxillary central incisors had sustained lateral canal infections. A surgical endodontic treatment was performed on both teeth. Flap elevation revealed vertical bone destruction along the root surface and infected lateral canals, and microscopy revealed that the lateral canals were the origin of the lesions. After the infected lateral canals were surgically managed, both teeth were asymptomatic and labial fistulas were resolved. There were no clinical or radiographic signs of surgical endodontic management failure at follow-up visits. This case report highlights the clinical significance and surgical endodontic management of infected lateral canal of maxillary incisor. It is important to be aware of root canal anatomy variability in maxillary incisors. Maxillary central incisors infected via the lateral canal can be successfully managed by surgical endodontic treatment.

Keyword

Apical ramification; Lateral canal; Root canal anatomy; Surgical endodontic treatment
Full Text Links
  • RDE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2021 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr