Labial Access for Lower Anterior Teeth – a Rational Approach

The internal anatomy of mandibular anterior teeth is more complex than previously assumed with high incidence of two canals. Performing endodontic treatment in mandibular anterior teeth can pose several challenges if the traditional lingual approach is adopted. A labial or labioincisal approach is more appropriate in managing such teeth. A case is described where a labial access preparation proved to be more successful in locating and debriding the entire root canal system in mandibular incisor teeth. A 30 year old male patient reported with pain in lower anterior region. Clinical and radiographical examination suggested acute apical periodontitis for both mandibular central incisors which required endodontic treatment. Radiographically, two distinct canals were visible in both teeth. A labial access preparation was done to perform the endodontic treatment which successfully managed the case. Virtually invisible post-endodontic restorations were achieved using composite resins. AOSR 2011;1(3):156-158.