scholarly journals A Case of Unusual Anatomy in Second Mandibular Molar with Four Canals

2008 ◽  
Vol 02 (03) ◽  
pp. 217-219 ◽  
Author(s):  
C. Maniglia-Ferreira ◽  
Fábio de Almeida-Gomesa ◽  
Bruno Carvalho de Sousa ◽  
Carla Cabral dos Santos Acioli Lins ◽  
Roberto Alves dos Santos

ABSTRACTSuccess in root canal treatment is achieved after thought cleaning and shaping followed by the complete obturation of root canal system. Such treatment may be performed in root canal systems that do not comply with the normal anatomical features described in standard textbooks. This article describes the conventional root canal treatment on an unusual mandibular second molar with four root-canals. (Eur J Dent 2008;2:217-219)

2018 ◽  
Vol 2 (6) ◽  
pp. 131-132
Author(s):  
Anil K Tomer ◽  
Akankshita Behera ◽  
Nitish Mittal ◽  
Nutan Indwar

During endodontic diagnosis multirooted teeth morphologically, shows variable root canal system . This case report explains the anatomical variations of root and root canals. Here it is shown that a single canal is present in mandibular second molar. Therefore we should be aware that a single canal can also be present in mandibular molar.


2018 ◽  
Vol 14 (1) ◽  
pp. 62-64
Author(s):  
Sushmita Shrestha ◽  
Navin Agrawal ◽  
Mannu Vikram ◽  
Vimmi Singh ◽  
Ashok Ayer ◽  
...  

Root canal morphology is not uniform, variations of root canals are routinely encountered by endodontists making the root canal treatment more challenging. C shaped canal is a variation commonly encountered in mandibular second molars. The main identifying feature of such canals is presence of fins or webs interconnecting with the main canals. Such canal systems require meticulous mechanical and rigorous chemical preparation to ensure desired outcome of the treatment. Proper assessment of tooth morphology, preoperative radiograph along with consideration towards racial predilection will greatly help in accurate identification of such canals pre-operatively. This paper reports a case of C shaped canal in mandibular second molar diagnosed and treated taking all the precautions and adapting necessary modifications in the steps of conventional root canal treatment steps where required thus increasing the likelihood of success.


2012 ◽  
Vol 3 (1) ◽  
pp. 97-99
Author(s):  
Kishore Kumar Majety ◽  
Ramesh Giriyappa Halebathi ◽  
Bhavana Gandhi

ABSTRACT The complex anatomy of the root canal system takes up many configurations and variations are not uncommon. A clinician should be aware of the normal, so as to recognize these aberrations in the anatomy. Successful root canal therapy is achieved by thorough shaping and cleaning of the root canal system followed by obturation of the radicular space. The aim of the present article is to describe a case of a mandibular second molar with an unusual anatomy of having a single mesial canal and two distal canals which is in reverse to usually seen, encountered during routine endodontic treatment. The clinician should always keep in mind that anatomic aberrations can occur in any tooth and the recognition of these is achieved by thorough examination of the internal anatomy of the tooth and its radiographs. How to cite this article Giriyappa RH, Majety KK, Gandhi B. Root Canal Treatment of a Mandibular Second Molar with a Reverse Anatomy. World J Dent 2012;3(1):97-99.


2014 ◽  
Vol 4 (1) ◽  
pp. 41-45
Author(s):  
Vanitha Shenoy ◽  
Rithima Sokhi

ABSTRACT Clinicians are frequently challenged by endodontically treated teeth that have obstructions, such as hard impenetrable pastes, separated instruments, silver points or posts in their root canals. Intracanal separation of endodontic instruments may hinder cleaning and shaping procedures within the root canal system, with a potential impact on the outcome of treatment. Broken instruments usually prevent access to the apex and the prognosis of teeth with broken instruments in the canals may be lower than for normal ones. The prognosis of these cases mainly depends on the preoperative condition of the periapical tissues. For these reasons, an attempt to remove broken instruments should be undertaken in every case. Ultrasonics have often been advocated for the removal of broken instruments because the ultrasonic tips or endosonic files may be used deep in the root canal system. Furthermore, the use of an ultrasonic endodontic device is not restricted by the position of the fragment in the root canal or the tooth involved. This case report elaborates on retrieval of broken instrument lodged in the coronal third of the root canal using ultrasonics and dental operating microscope. How to cite this article Sokhi R, Sumanthini MV, Shenoy V. Retrieval of Separated Instrument using Ultrasonics in a Permanent Mandibular Second Molar: A Case Report. J Contemp Dent 2014;4(1):41-45.


2011 ◽  
Vol 12 (5) ◽  
pp. 368-371 ◽  
Author(s):  
Matheus Melo Pithon ◽  
Deyla Duarte Vilela ◽  
Manoel Matos Neto ◽  
Alexandre Mascarenhas Villela

ABSTRACT Aim To evaluate the interference of the intracanal medication Calen® (SSWhite, São Paulo, Brazil) on the filling of simulated lateral canals. Materials and methods Twenty human anterior teeth were used. Before the endodontic filling procedures the access of cavity was made, and after this root canals were made in all the teeth to simulate the presence of lateral canals. After preparation, the teeth were randomly divided into two groups (n=10). In group I, the root canal system was filled directly after chemicalmechanical preparation; in group II, endodontic treatment was performed in multiple sessions, and after preparation the calcium hydroxide-based intracanal medication Calen® was inserted. After the period of 7 days, the root canals were vigorously irrigated and then they were filled. Next, the teeth were radiographed to verify the quality of the filling. Results The results demonstrated that the teeth treated in a single session, without calcium hydroxide medication, presented 47 canals out of 60 with radiographic evidence of filling, whereas the teeth in which intracanal medication was used, only 07 presented a radiographic image compatible with filling (p < 0.05). Conclusion The use of the calcium hydroxide-based medication Calen made it difficult to obtain a hermetic filling of the root canal system. Clinical significance The clinical significance of this work basing on the fact that once the dentist knowing that property obliteration of calcium hydroxide can be taken care when they are used in the presence of lateral canals. How to cite this article Vilela DD, Neto MM, Villela AM, Pithon MM. Evaluation of Interference of Calcium Hydroxide-based Intracanal Medication in Filling Root Canal Systems . J Contemp Dent Pract 2011;12(5):368-371.


2021 ◽  
Vol 67 (2) ◽  
pp. 101-106
Author(s):  
Sanziana Adina Scarlatescu ◽  
◽  
Irina Gheorghiu ◽  
George Nicola ◽  
Andrei O. Al Aloul ◽  
...  

The objectives of root canal treatment are to prevent the apical parodontitis, to heal the acute or cronic apical periodontits and to maintain the results, keeping the teeth on the arch in a functional stage. Thus, accuratelly elimination of soft and hard tissues (cleaning and shaping of the root canal system), disinfection and complete, homogeneous and tridimensional filling of the root canal system are very important to successful endodontic treatment. Modern concepts in endodontic treatment rely on technological progress and therefore many cases are successfully fulfilled, but the practitioner may be put in front of procedural erorrs both during and after endodontic treatment. Apical blockage, ledging, zipping, stripping, perforations in the floor of the pulp canal chamber or root canals perforations are the most common errors, but in many clinical situations they can be prevented and even surpassed once happened.


Dental Update ◽  
2021 ◽  
Vol 48 (1) ◽  
pp. 58-61
Author(s):  
Ajinkya M Pawar ◽  
Shishir Singh

In root canal treatment, the foundation on which all surgical procedures are performed is a thorough knowledge of the anatomy of the pulp chamber and the root canal system. The endodontic triad comprises biomechanical preparation, microbial control and complete obturation of the root canal space. Knowledge of the pulp chamber floor anatomy is important in locating the numbers and orifices of root canals present within the tooth being root canal treated. This is particularly important while treating teeth that are heavily restored, mal-positioned, or calcified. The current review attempts to explain the complex anatomy of the pulp chamber floor and its significance in root canal treatment. CPD/Clinical Relevance: To allow the location of all root canal orifices in the pulp chamber and to perform successful root canal treatment, knowledge of pulp chamber floor anatomy is essential. The clinician should consider that, as the external morphology of the tooth varies in individuals, so does the internal morphology.


Author(s):  
Pardeep Mahajan ◽  
Ruma Grover ◽  
Shikha Baghi Bhandari ◽  
Prashant Monga ◽  
Vanita Keshav

Successful outcome of endodontic treatment depends on the identification of all root canals which in turn guarantee complete extirpation of pulp tissue, proper chemo-mechanical cleaning and shaping and three dimensional obturation of the root canal system with an inert filling material. However endodontic treatment can fail for many reasons, such as diagnostic errors, persistence of the infection in the root canal system, errors in debridement and shaping of the root canal systems, instrument fractures, poor restorations and extra roots or canals if not detected are the reasons for failure. Undetected extra roots or root canals have been considered as a major reason for failure of root canal treatment. Many of the challenges faced during root canal treatment may be directly attributed to an inadequate understanding of the canal morphology of teeth. A broad knowledge of both the external and internal anatomy of teeth is of great importance for adequate endodontic treatment. We present a case report of 2 roots in mandibular lateral incisor.


2021 ◽  
pp. 66-68
Author(s):  
Shivangi Shreya ◽  
C.K. Wang

Variations of root canal systems need not always be in the form of extra canals. Clinicians should be aware that there is a possibility of existence of fewer numbers of roots and root canals than normal, which presents varied canal anatomy and poses a challenge to the clinician's expertise. This case report deals with the management of an unusual case of C-shaped canal in mandibular second molar. Cone-beam computed tomography (CBCT) was employed to conrm the extension of the unusual anatomy. 3-D Obturation done with the help of thermoplastic obturation unit.


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