Maxillary Canine with two roots and two canals: A case report
DOI:
https://doi.org/10.33448/rsd-v10i2.12599Keywords:
Anatomy; Cone Beam Computed Tomography; Canine teeth; Endodontics.Abstract
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.
References
Alapati, S., Zaatar, E. I., Shyama, M., & Al-Zuhair, N. (2006). Maxillary canine with two root canals. Medical Principles and Practice, 15(1), 74-76. doi: https://doi.org/10.1159/000089390
Barkhordar, R. A., & Nguyen, N. T. (1985). Maxillary canine with two roots. Journal of Endodontics, 11(5), 224-227. doi: https://doi.org/10.1016/S0099-2399(85)80064-9
Bolla, N., & Kavuri, S. R. (2011). Maxillary canine with two root canals. Journal of conservative dentistry: JCD, 14(1), 80. doi: 10.4103/0972-0707.80726
Desai, P. D., Dutta, K., & Sarakar, S. (2015). Multidetector computed tomography dentascan analysis of root canal morphology of maxillary canine. Indian Journal of Dental Research, 26(1), 31. doi: 10.4103/0970-9290.156794
Ee, J., Fayad, M. I., & Johnson, B. R. (2014). Comparison of endodontic diagnosis and treatment planning decisions using cone-beam volumetric tomography versus periapical radiography. Journal of Endodontics, 40(7), 910-916. doi: https://doi.org/10.1016/j.joen.2014.03.002
Gopalakrishnan, A., Unnikrishna, K., Balan, A., & Haris, P. S. (2017). Use of Cone-Beam Computed Tomography in the Diagnosis and Treatment of an Unusual Canine Abnormality. Sultan Qaboos University Medical Journal, 17(2), e238. doi: 10.18295/squmj.2016.17.02.019
Hasna, A. A., & Carvalho, C. A. T. (2019). Endodontic treatment of a large periapical cyst with the aid of antimicrobial photodynamic therapy-Case report. Brazilian Dental Science, 22(4), 561-568. doi: https://doi.org/10.14295/bds.2019.v22i4.1745
Hasna, A. A., Da Silva, L. P., Pelegrini, F. C., Ferreira, C. L. R., de Oliveira, L. D., & Carvalho, C. A. T. (2020). Effect of sodium hypochlorite solution and gel with/without passive ultrasonic irrigation on Enterococcus faecalis, Escherichia coli and their endotoxins. F1000Research, 9. doi: 10.12688/f1000research.24721.1
Hasna, A. A., de Toledo Ungaro, D. M., de Melo, A. A. P., Yui, K. C. K., da Silva, E. G., Martinho, F. C., & Gomes, A. P. M. (2019). Nonsurgical endodontic management of dens invaginatus: a report of two cases. F1000Research, 8. doi: 10.12688/f1000research.21188.1
Hasna, A. A., Khoury, R. D., Toia, C. C., Gonçalves, G. B., de Andrade, F. B., Carvalho, C. A. T., ... & Valera, M. C. (2020). In vitro evaluation of the antimicrobial effect of N-acetylcysteine and photodynamic therapy on root canals infected with Enterococcus faecalis. Iranian Endodontic Journal, 15(4), 236-245. doi: https://doi.org/10.22037/iej.v15i4.26865
Kavitha, M., Gokul, K., Ramaprabha, B., & Lakshmi, A. (2014). Bilateral presence of two root canals in maxillary central incisors: A rare case study. Contemporary clinical dentistry, 5(2), 282. doi: 10.4103/0976-237X.132354
Lamba, B. (2012). Rarity in midst of routine: case report of a maxillary canine with two root canals. international journal of stomatology & occlusion medicine, 5(1), 49-51. doi: 10.1007/s12548-012-0037-8
Mohammed, N. M. A., Mandorah, A. O., & Alqashqari, T. A. (2015). Maxillary canine with two root canals. Saudi Endodontic Journal, 5(2), 146. doi: 10.4103/1658-5984.155456
Muppalla, J. N. K., Kavuda, K., Punna, R., & Vanapatla, A. (2015). Management of an Unusual Maxillary Canine: A Rare Entity. Case reports in dentistry, 2015. doi: https://doi.org/10.1155/2015/780908
Oliveira, P. D. A. C., Franco, A., Oliveira, L. B., Lima, C. A. S., Junqueira, J. L. C., Cavalette, M. R. M. L., & Oenning, A. C. C. (2021). Cone-beam computed tomography in Endodontics: an exploratory research of the main clinical applications. Research, Society and Development, 10(1), e42910111842-e42910111842. doi: https://doi.org/10.33448/rsd-v10i1.11842
Orguneser, A., & Kartal, N. (1998). Three canals and two foramina in a mandibular canine. Journal of Endodontics, 24(6), 444-445. doi: https://doi.org/10.1016/S0099-2399(98)80031-9
Plascencia, H., Cruz, Á., Palafox-Sánchez, C. A., Díaz, M., López, C., Bramante, C. M., ... & Ordinola-Zapata, R. (2017). Micro-CT study of the root canal anatomy of maxillary canines. Journal of clinical and experimental dentistry, 9(10), e1230. doi: 10.4317/jced.54235
Roy, D. K., Cohen, S., Singh, V. P., Marla, V., & Ghimire, S. (2018). Endodontic management of mandibular canine with two roots and two canals: a rare case report. BMC research notes, 11(1), 1-4. doi: https://doi.org/10.1186/s13104-018-3226-8
Scarparo, R. K., & Neuvald, L. R. (2006). Avaliação dos métodos radiográfico e eletrônico para determinação do comprimento real de trabalho em endodontia–estudo in vivo. Revista da Faculdade de Odontologia-UPF, 11(2). doi: https://doi.org/10.5335/rfo.v11i2.1112
Shin, D. R., Kim, J. M., Kim, D. S., Kim, S. Y., Abbott, P. V., & Park, S. H. (2011). A maxillary canine with two separated root canals: a case report. Journal of Korean Academy of Conservative Dentistry, 36(5), 431-435. doi: https://doi.org/10.5395/JKACD.2011.36.5.431
Shrivastava, N., Nikhil, V., Arora, V., & Bhandari, M. (2013). Endodontic management of mandibular canine with two canals. Journal of the International Clinical Dental Research Organization, 5(1), 24. doi: 10.4103/2231-0754.134133
Vertucci, F. J. (1984). Root canal anatomy of the human permanent teeth. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 58(5), 589-599. doi: https://doi.org/10.1016/0030-4220(84)90085-9
Victorino, F. R., Bernardes, R. A., Baldi, J. V., Moraes, I. G. D., Bernardinelli, N., Garcia, R. B., & Bramante, C. M. (2009). Bilateral mandibular canines with two roots and two separate canals: case report. Brazilian Dental Journal, 20(1), 84-86. doi: https://doi.org/10.1590/S0103-64402009000100015
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Fausto Rodrigo Victorino; Isabela Silva Rocha; Rafael de Oliveira Lazarin ; Marcelo Augusto Seron; Gustavo Sivieri-Araujo; Ricardo Sérgio Almeida
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
