PMC3019756_01
Intraoral view of the palatal talon cusps on the maxillary lateral incisors.
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Initial intraoral radiographs demonstrate the presence of inverted V-shaped talon cusps on the maxillary lateral incisors.
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Access cavities of the maxillary lateral incisors.
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The teeth were anaesthetized, and an adequate endodontic access preparation was made under rubber dam isolation (Figure 3).
Root length determination radiographs.
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After removal of the pulp tissues, working lengths were determined with a radiograph (Figure 4).
Final periapical radiographs taken after completion of endodontic treatment.
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Obturation of the root canals was performed using gutta-percha and AH 26 (Dentsply Maillefer) root canal sealer with lateral condensation (Figure 5), and the talon cusps were reduced using a water-cooled diamond bur in a high-speed handpiece.
Clinical appearance after selective cuspal grinding and composite restoration followed by root canal treatment.
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Following this procedure, access cavities were restored with bonded composite resin material (TPH Spectrum, Dentsply) (Figure 6).