title: Endo-esthetic Management of Permanent Maxillary Lateral Incisor with Severe Root Dilaceration in a 12-year-old Child.
abstract: Functional, esthetic and endodontic restoration of a pulpally involved permanent incisor with root dilaceration often presents a daunting clinical challenge. The outcome of conventional treatment modalities like surgical removal of the tooth followed by orthodontic closure of the space is time consuming and esthetically compromising. Even the prosthetic and implantalogical rehabilitation after extraction is not possible until the patient reaches certain age; while the compliance is a problem with the use of removable partial denture in young children. Autoalloplastic anterior tooth transplantation can lead to physical and psychological trauma in a young individual. Thus endo-esthetic management of such teeth helps in maintaining both morphology and esthetics in a growing child until the permanent long lasting prosthetic solution is sought after the complete development of the dentition and jaws. This treatment option for a pulpally involved permanent incisor with root dilaceration involves completing the endodontic treatment in a partially calcified and aberrantly located root canal followed by the use of light transmitting fiber post and core build up using composite resin.
authors.affiliation: Professor, Head and PG Guide, Department of Pediatric and Preventive Dentistry, Dr DY Patil Dental College and Hospital, Pimpri, Pune, India.
authors.forename: Vishwas
authors.initials: V
authors.lastname: Chaugule
authors.affiliation: Lecturer, Department of Pediatric and Preventive Dentistry, Dr DY Patil Dental College and Hospital, Pimpri, Pune, India.
authors.forename: Chetan
authors.initials: C
authors.lastname: Bhat
authors.affiliation: Third year PG student, Department of Pediatric and Preventive Dentistry, Dr DY Patil Dental College and Hospital, Pimpri, Pune, India.
authors.forename: Vishwas
authors.initials: V
authors.lastname: Patil
authors.affiliation: Second year PG student, Department of Pediatric and Preventive Dentistry, Dr DY Patil Dental College and Hospital, Pimpri, Pune, India.
authors.forename: Krupali
authors.initials: K
authors.lastname: Shah
authors.affiliation: First year PG Student, Department of Pediatric and Preventive Dentistry, Dr DY Patil Dental College and Hospital, Pimpri, Pune, India.
authors.forename: Shirish
authors.initials: S
authors.lastname: Vihapure
keywords: Endo-esthetic management; Fiber post and core buildup.; Root dilacerations