AI Article Synopsis

  • A 20-year-old man experienced pain and swelling in his upper jaw, particularly around his right maxillary lateral incisor, which showed signs of dental issues on standard x-rays.
  • Cone-beam computed tomography (CBCT) provided more detailed images, revealing severe bone loss at the root tip and two separate canals, indicating a specific dental anomaly (Oehlers type).
  • Following treatment using ultrasonic tools and conventional root canal techniques, the man showed significant improvement with successful healing observed in follow-up x-rays over one and two years.

Article Abstract

A 20-year-old man presented with the history of pain and swelling in the anterior maxillary segment. The periapical radiography was indicative of a dental anomaly in right maxillary lateral incisor. Due to the insufficient information from conventional radiography, cone-beam computed tomography (CBCT) was ordered. CBCT showed apical root resorption, large apical lucency and two separate canals with distinct apical foramen (Oehlers type dens invagination). The CBCT image was used as a guide for dentine removal with an ultrasonic tip. Conventional root canal therapy was done using lateral compaction technique. One-and two-year follow-up radiographies revealed periapical repair and absence of symptoms.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069915PMC
http://dx.doi.org/10.22037/iej.2016.17DOI Listing

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