Introduction:
The major goal of endodontic therapy is to three-dimensionally shape, disinfect, and obturate the canal system in order to promote healing of the periapical tissues (1). Clinicians are expected to treat the entire canal system, necessitating robust knowledge of endodontic anatomy. The most common reason of failure is untreated anatomy and is more common in the maxillary molars and mandibular premolars (2).
In the literature, maxillary central incisors are usually referenced as single-rooted teeth (3-5). The anatomic variation of two roots in a central incisor is rare and sometimes difficult to diagnose. Some cases of two-rooted maxillary central incisors have been reported in the past (6-20). Comprehensive diagnosis and treatment planning are fundamental in these cases for a successful outcome. Nevertheless in none of the cases previously reported in the literature, the state of the tooth under treatment has been that compromised, as the present case report.
In the present case, non-surgical endodontic treatment of a severely compromised two-rooted maxillary central incisor was completed.
This case report has been written according to Preferred Reporting Items for Case reports in Endodontics (PRICE) 2020 guidelines (21). PRICE flowchart (Figure 1) and PRICE checklist were followed. The patient was fully informed and agreed for the treatment.