Author/Authors :
Romano, Nayara Department of Restorative Dentistry - School of Dentistry of Ribeirao Preto - University of Sao Paulo, Ribeir ao Preto, SP, Brazil , Souza-Flamini, Luis Eduardo Department of Restorative Dentistry - School of Dentistry of Ribeirao Preto - University of Sao Paulo, Ribeir ao Preto, SP, Brazil , Lima Mendonça, Isabela Department of Restorative Dentistry - School of Dentistry of Ribeirao Preto - University of Sao Paulo, Ribeir ao Preto, SP, Brazil , Gariba Silva, Ricardo Department of Restorative Dentistry - School of Dentistry of Ribeirao Preto - University of Sao Paulo, Ribeir ao Preto, SP, Brazil , Miranda Cruz-Filho, Antonio Department of Restorative Dentistry - School of Dentistry of Ribeirao Preto - University of Sao Paulo, Ribeir ao Preto, SP, Brazil
Abstract :
This paper reports a case of gemination in a maxillary lateral incisor with two root canals and crown-root dilaceration. A 16-yearold male patient was referred for endodontic treatment of the maxillary left lateral incisor and evaluation of esthetic and functional
complaints in the anterior region. The patient reported trauma to the anterior primary teeth. There was no spontaneous pain, but
the tooth responded positively to the vertical percussion test and negatively to the pulp vitality test. Clinical examination showed
esthetic and functional alterations and normal periodontal tissues. CBCT imaging confirmed the suspicion of gemination and
crown-root dilaceration and also revealed the presence of two root canals and periapical bone rarefaction. The root canals were
instrumented with Reciproc R40 and 1% NaOCl irrigation and were filled by lateral condensation of gutta-percha and AH Plus
sealer. The tooth was definitely restored with composite resin to recover esthetics. Continued follow-up over 6 months has shown
absence of pain or clinical alterations as well as radiographic image suggestive of apical repair.
