Endodontic therapy associated with a case of cuspid gigantism

A case of cuspid gigantism is reported. A technique used to diagnose and complete the root canal therapy is discussed. Modifications of conventional techniques and materials are shown to be effective in managing this case. Routine use of the bitewing film on long cuspids is not recommended. It is suggested only in extreme cases of unusual anatomic features that lend themselves specifically to this technique. It should be kept in mind that such circumstances are uncommon.