An accessory root on the maxillary lateral incisor: Case report

Tooth-related morphological anomalies are local contributors to periodontal disease. Accessory root formation is one of the rare anomalies of in incisor teeth. A 65-year-old male patient who has type II diabetes and hypertension applied to our clinic. Clinical examination has shown that the upper right central incisor tooth had an 8 mm deep periodontal pocket on the distal and a 7 mm deep periodontal pocket on the mesial aspects of the tooth. Accessory root was seen on the mesiobuccal aspect of root of the upper right lateral incisor tooth in coronal portion. The accessory root was excised with surgical operation and the bone defect in the area was regenerated. Post-surgery periodontal healing was uneventful. Periodontal pocket depth decreased to 4 mm on the 4 th month after surgery. This case discusses accessory root formation may accelerate the accumulation of dental plaques and subgingival calculus. Thus, early detection of anomalies in root morphology is important in the effective treatment of periodontitis.