Labial endodontic access is an alternative to the conventional lingual endodontic access in permanent teeth. The labial approach facilitates visibility and provides direct access to the root apex. Current restorative procedures offer improved methods to overcome the esthetic impairment resulting from this approach. Labial access is especially beneficial for patients with limited mandibular opening. Other indications are in Angle's class II division 2 dentitions or in teeth with resin-bonded cast restorations. Anatomic studies for the single tooth that corroborate the labial endodontic approach are reviewed.
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