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Reminder of important clinical lesson
Case report
Aesthetic management of a fractured mandibular central incisor with two canals using fibre post
  1. Guria Abhisek1,
  2. Makonahalli Jaganath Bharath1,
  3. Chickmagaravalli Krishnegowda Sahadev1 and
  4. Sanjayagouda B Patil2
  1. 1Department of Conservative Dentistry and Endodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India
  2. 2Prosthodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India
  1. Correspondence to Dr Sanjayagouda B Patil; sbpatilmanu{at}gmail.com

Abstract

Mandibular incisors show variations in their root canal anatomy from regular pattern in some cases. Magnification plays a vital role to identify those unusual canal morphologies. A certain modification in access cavity preparation is required to locate those extra canals. Not only the functional restoration but also aesthetic harmony should be restored while treating anterior teeth. In these cases, post space preparation should be done with extra care to prevent vertical root fracture. This case report illustrates the importance of proper radiograph and magnification in the successful identification and management of complex canal systems in mandibular incisors.

  • canal morphology
  • endodontic treatment
  • second canal
  • mandibular incisor
  • magnification
  • dental operating microscope
  • dental loops
  • fibre post
  • angulated radiograph

https://doi.org/10.1136/bcr-2019-232231

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    Footnotes

    • Contributors GA performed the root canal treatment and fibre post cementation. MJB helped to decide the treatment plan and to write the manuscript. CKS also helped to decide the treatment plan and review the literature. SBP performed the crown preparation and prosthesis cementation, and also helped in the acquisition and interpretation of data.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.