Gingival Fenestration: A Multidisciplinary Approach

2019 ◽  
Vol 3 (2) ◽  
pp. 78-80
Author(s):  
Ameena Pradhan ◽  
Shreeya Aryal ◽  
Neera Joshi ◽  
Shilu Shrestha
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Clinical Situation ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Root Caries ◽  
Flap Technique ◽  
Root Exposure ◽  
Texture Match

Gingival fenestration is rarely encountered clinical situation causing problems like root sensitivity, root caries and aesthetic problem. Although rare, this situation can be difficult to manage and needs multidisciplinary approach. This case report describes management of gingival fenestration defect with root exposure and endodontic lesion in upper left lateral incisor using multidisciplinary approach. Endodontic treatment followed by double papilla flap technique as coverage of gingival fenestration and finally crown was prosthetically rehabilitated. The result of this case with double papilla graft technique demonstrated satisfactory healing of the gingival fenestration defect with excellent colour and texture match with the surrounding tissues.

scholarly journals Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid

2016 ◽  
Vol 7 (4) ◽  
pp. 199-202
Author(s):  
Deepti Dua ◽  
Ankur Dua
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Root Canal ◽  
Spiral Computed Tomography ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Supernumerary Tooth ◽  
Spiral Computed ◽  
Diagnostic Aid ◽  
Maxillary Lateral Incisor

ABSTRACT Fusion is a developmental anomaly in tooth morphology, which may be due to either union of two separate tooth buds or partial splitting of a single tooth bud. A thorough understanding of root canal anatomy is an essential prerequisite for a successful endodontic treatment. This case report describes successful endodontic management of a maxillary left lateral incisor fused with a supernumerary tooth using spiral computed tomography (SCT) as a diagnostic aid. A patient reported with a painless swelling in the maxillary anterior region associated with a fused maxillary lateral incisor. Spiral CT was performed to better understand the complex root canal anatomy. Endodontic treatment was done using methyl trioxide aggregate (MTA) as apical plug and obturation by thermoplasticized gutta-percha. The tooth was completely asymptomatic at 1-year follow-up showing signs of healing. The present case report emphasizes on the importance of three-dimensional (3D) imaging techniques, such as SCT in cases of developmental anomalies having complicated root canal morphology for successful endodontic therapy. How to cite this article Dua D, Dua A, Patil AC. Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid. World J Dent 2016;7(4):199-202.

scholarly journals Multidisciplinary approach in patient with upper lateral incisor microdontia. Case report

2016 ◽  
Vol 4 (2) ◽  
pp. e132-e137
Author(s):  
Coralibeth D’La Torre Ochoa ◽  
Beatriz Gurrola Martínez ◽  
Adán Casasa Araujo
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Lateral Incisor

scholarly journals Endodontic treatment of lower anterior teeth with multiple canals

2011 ◽  
Vol 58 (3) ◽  
pp. 168-173
Author(s):  
Mirjana Vujaskovic ◽  
Nikola Stojanovic ◽  
Goran Vujaskovic
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Clinical Finding ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Tooth Structure ◽  
Gutta Percha ◽  
Anterior Teeth ◽  
Root Canal Morphology ◽  
Canal Morphology

Introduction. Knowledge of root canal morphology is one of the main prerequisites for successful endodontic treatment. We present the case of a patient with multiple canals in lower anterior teeth which were treated endodontically. Case Report. To a 45-year-old patient endodontic treatment was applied on lower left lateral incisor, lower right central and lateral incisor and lower right canine. These teeth were previously prepared for prosthetic crowns. All involved teeth had two canals which were not visible on the primary radiographs. Gracility of remaining tooth structure and canals and the presence of two canals in each tooth required additional radiographs for verification of multiple canals. Careful biomechanical instrumentation and irrigation with use of lubrication due to narrow canals was performed. The canals were obturated with gutta-percha using lateral compaction technique and Acroseal (Septodont) paste. On the control checkup after eight months, the patient was asymptomatic, while clinical finding was normal. Conclusion. Complexity of presented case was even more significant because these teeth were prepared to support prosthetic superstructure and crowns, and every ?forgotten? canal is an iatrogenic error.

scholarly journals Management of Mandibular Lateral Incisor with Two Roots: a Case Report

2016 ◽  
Vol 5 (1) ◽  
pp. 1093 ◽  
Author(s):  
Pardeep Mahajan ◽  
Ruma Grover ◽  
Shikha Baghi Bhandari ◽  
Prashant Monga ◽  
Vanita Keshav
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Lateral Incisor ◽  
Successful Outcome ◽  
Filling Material ◽  
Canal System ◽  
Root Canals ◽  
Root Canal System

Successful outcome of endodontic treatment depends on the identification of all root canals which in turn guarantee complete extirpation of pulp tissue, proper chemo-mechanical cleaning and shaping and three dimensional obturation of the root canal system with an inert filling material. However endodontic treatment can fail for many reasons, such as diagnostic errors, persistence of the infection in the root canal system, errors in debridement and shaping of the root canal systems, instrument fractures, poor restorations and extra roots or canals if not detected are the reasons for failure. Undetected extra roots or root canals have been considered as a major reason for failure of root canal treatment. Many of the challenges faced during root canal treatment may be directly attributed to an inadequate understanding of the canal morphology of teeth. A broad knowledge of both the external and internal anatomy of teeth is of great importance for adequate endodontic treatment. We present a case report of 2 roots in mandibular lateral incisor.

scholarly journals Bilateral geminated teeth with talon cusps: A case report

2012 ◽  
Vol 06 (04) ◽  
pp. 440-444
Author(s):  
Sevgi Sener ◽  
Nimet Unlu ◽  
Faruk Ayhan Basciftci ◽  
Guldane Bozdag
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Multidisciplinary Approach ◽  
Composite Resin ◽  
Lateral Incisor ◽  
Exposed Surface ◽  
Dental Anomalies ◽  
Maxillary Lateral Incisor ◽  
Clinical Problems

ABSTRACTTalon cusps and gemination are rare dental anomalies that can cause significant aesthetic and clinical problems. Bilateral talon cusps on geminated teeth have not been reported so far. The case of gemination with talon cusps on both maxillary central incisors was presented in this report. The main complaints of the patient were tongue irritation and aesthetic problems. The talon cusps were gradually reduced at 2 consecutive sittings and the exposed surface was treated with a fluoride gel. The aesthetical appearance was improved using a composite resin. Fixed orthodontic treatment was initiated for repositioning the left maxillary lateral incisor. A long term, multidisciplinary approach is necessary for the treatment of gemination with talon cusps. (Eur J Dent 2012;6:440-444)

scholarly journals TWO ROOTED MAXILLARY LATERAL INCISOR

2020 ◽  
Vol 6 (1) ◽  
pp. 72-74
Author(s):  
Huma Iftekhar ◽  
Boris Saha ◽  
Surendra K Mishra
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Central Incisor ◽  
Root Canals ◽  
Single Root ◽  
Dental Anatomy ◽  
Maxillary Lateral Incisor

Maxillary lateral incisors are generally considered as a tooth with a single root and single canal. This is not true in all cases as case reports have advocated maxillary lateral incisors showing two roots with two or three root canals, Thorough knowledge of the internal and external dental anatomy and its variations is essential for a successful endodontic treatment. This case report deals with the periapical surgery in a two rooted maxillary lateral incisor along with the central incisor.

scholarly journals Stumbling upon Palatogingival Groove: A Case Report

2021 ◽  
Vol 9 (02) ◽  
pp. 94-96
Author(s):  
Sujan Thapa ◽  
Vanita Gautam ◽  
Snigdha Shubham ◽  
Manisha Nepal ◽  
Kriti Shrestha
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Groove Depth ◽  
Endodontic Treatment ◽  
Lateral Incisor ◽  
Periodontal Pocket ◽  
Periapical Lesion ◽  
Open Flap Debridement ◽  
Palatogingival Groove

Palatogingival grooves (PGG) are developmental malformations infamous for precipitating endodontic-periodontal lesions. Pertaining to their discreet occurrence, variation in groove depth and funnel like shape, adherence of plaque and calculus is apparent thereby jeopardizing the periodontium and pulp. A case of palatogingival groove in maxillary left lateral incisor was diagnosed and managed with endodontic treatment followed by open flap debridement to seal the groove with biodentine and fill the defect with bone graft. On follow up, the periapical lesion and the periodontal pocket were successfully resolved.

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