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Article: Volume 31 Number 3 Page 142 - April 2004

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  Dent Update 2004; 31: 142-145

Paediatric dentistry:  Management of a Non-Vital Central Incisor Tooth with Three Root Canals

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Abstract: A macrodont permanent central incisor tooth with unusual root canal morphology became non-vital 18 months following trauma.Two root canals were initially identified and filled,but the patient continued to have symptoms and radiographic examination indicated apical periodontitis.Careful radiographic and clinical examination revealed a third root canal,which was subsequently treated, resulting in the resolution of symptoms and periapical healing.

Clinical relevance: Careful radiographic and clinical examination should allow identification of additional root canals which may compromise treatment if undetected.

Author notes: Halla Zaitoun BDS,MFDS,Senior House Officer and Iain C.Mackie ,BDS,FDS,PhD, MSc,DDPH,Unit of Paediatric Dentistry, University Dental Hospital of Manchester,Higher Cambridge Street,Manchester M15 6FH.

Objective: To understand the occasional complexity of root canals by careful radiograph examination.