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.