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JOURNALOF ENDODONTICS
Copyright 9 1985 by The Arnedcan Association of Endodontists
Printed in U.S.A.
VOL. 11, NO. 5, MAY1985
CASE REPORT
Maxillary Canine with Two Roots
Canino Superior con Dos Raices
Rahmat A. Barkhordar, DMD, and Nguyen T. Nguyen, DOS
225
FtG 2. A, Radiograph of the maxillary left anterior region showing canine with two distinct roots and gutta-percha extending through the furcation.
B, Radiograph of the maxillary right anterior region showing right canine with one root.
root (Fig. 2B). The left canine exhibited advanced calcification of both root canals, with no apparent periapical bone destruction, and showed root filling material
extending 10 mm into the bone through a perforation
of the furcation (Fig. 2A). Our treatment called for
conservative retreatment of the canine and surgical
removal of the extended filling material, followed by the
construction of a fixed bridge.
After an unsuccessful attempt to negotiate the calcified root canals, the involved area was surgically
226
Joumal of Endodontics
FIG 5. A, Immediate postsurgical radiograph. B, One-year postoperative radiograph. There is no evidence of pathological change at root apices
of the calcified tooth and thereis progressive healing in the furcation. C, Thme-year postoperative radiograph with no further bone loss in the
furcation and no periapical changes. Tooth is functioning as abutment for a fixed bridge.
the roots. The operative site was closed with 4-0 silk
suture and a radiograph was taken (Fig. 5A). On the
7th postoperative day, the sutures were removed. The
healing process was uneventful.
Radiographs taken 1 and 3 yr postoperatively revealed satisfactory healing with no apparent radiographic changes at the apices of the maxillary canine
(Fig. 5, B and C). The tooth was firm and clinically
asymptomatic. Periodontal probings were within normal
limits, and there was no evidence of further bone loss
in the furcation.
DISCUSSION
From our initial radiographic examination, it was obvious that this maxillary canine had an unusual configuration. The two roots are clearly visible on the radiographs. If good diagnostic radiographs had been taken
at different angles before the original endodontic treatment, the two roots would have been apparent and the
ensuing complications could have been avoided. As
Grossman (18) stated, the radiograph "has been an
invaluable boon to mankind, giving him a sixth sense
to penetrate into the otherwise unknowable."
Dr. Barkhordar is assistant professor and Dr. Nguyen is clinical professor
and chairman, Department of Restorative Dentistry, Division of Endodontics,
University of California, San Francisco, CA.
227
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