Endodontic treatment of maxillary canine with unusual length: A case report

Introduction: Permanent maxillary canines can present with an unusual length. This case report described a clinical case of endodontic treatment of a 32 mm upper cuspid, with the emphasis on the adjustments to the preparation and obturation steps of the root canal procedure. Case report: A 66-year-old male patient presented to Conservative Dentistry Clinic, Faculty of Dentistry, Universitas Indonesia with pain sensation in his upper left canine upon biting on tooth #23. This tooth was previously restored with amalgam and has a secondary caries. During the root canal treatment, the tooth was found to have an unusual length of 32 mm. Adjustments of the instruments used, root canal preparation technique and fabrication of custom-made gutta-percha were needed to suit the working length of the tooth and obtain good root canal preparation and obturation results. Conclusion: Successful endodontic treatment of an unusually long tooth can be achieved if adjustments are made to provide proper disinfection, preparation, obturation of the root canal as well as preservation of the remaining tooth structure.