Two-Rooted Lower Lateral Incisor Through Crown

Lower Right Lateral Incisor (LR2)

Clinical Radiographs

Pre-operative radiograph showing rare two-rooted lower lateral incisor — Pre-operative

Post-operative radiograph showing both canals treated through existing crown — Post-operative

Case Details

Patient

Female, mid-40s

Presentation

Lower right lateral incisor with existing crown presenting with pain on biting and an abscess. Initial X-ray revealed the unusual finding of two separate roots.

The Challenge

Lower lateral incisors almost always have a single root and canal. This tooth had two distinct roots - an extremely rare anatomical variation. Treatment had to be performed through the existing porcelain crown, and both roots needed to be identified and treated.

Treatment

Conservative through-crown access was made. Under the microscope, both canals were located and individually instrumented. Each canal was obturated separately to ensure a complete seal.

Outcome

Abscess resolved within days. The crown was preserved and the tooth returned to full function.

Retreatment of Upper First MolarPrevious All Cases Three Portals of Exit in Lower PremolarNext

Need Advanced Endodontic Care?

Whether you're a referring dentist or a patient seeking treatment, our team is here to help.

Refer a Patient Book Consultation