Surgical endodontic management of infected lateral canals of maxillary incisors.
- Author:
Ji Hyun JANG
1
;
Jung Min LEE
;
Jin Kyu YI
;
Sung Baik CHOI
;
Sang Hyuk PARK
Author Information
- Publication Type:Case Report
- Keywords: Apical ramification; Lateral canal; Root canal anatomy; Surgical endodontic treatment
- MeSH: Dental Pulp Cavity; Fistula; Follow-Up Studies; Incisor*; Microscopy; Tooth
- From:Restorative Dentistry & Endodontics 2015;40(1):79-84
- CountryRepublic of Korea
- Language:English
- 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.
