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KMID : 1034420150400010079
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Restorative Dentistry & Endodontics
2015 Volume.40 No. 1 p.79 ~ p.84
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Surgical endodontic management of infected lateral canals of maxillary incisors
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Jang Ji-Hyun
Lee Jung-Min
Yi Jin-Kyu
Choi Sung-Baik
Park Sang-Hyuk
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Abstract
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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.
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KEYWORD
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Apical ramification, Lateral canal, Root canal anatomy, Surgical endodontic treatment
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