scholarly journals Unusual Root Canal Morphology of the Maxillary Second Molar: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Neslihan Şımşek ◽  
Ali Keleş ◽  
Elçin Tekın Bulut
Keyword(s):  
Case Report ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Second Molar ◽  
Root Canals ◽  
Gutta Percha ◽  
Rotary Instruments ◽  
Mandibular Molar ◽  
Ah Plus ◽  
Root Canal Morphology

Introduction. This clinical case report presents the successful endodontic treatment of a maxillary second molar that has a mandibular molar-like anatomy with no palatal root and with each of its roots containing two separate root canals. Cone-beam computed tomography (CBCT) was used to confirm this unusual anatomy.Methods. A 34-year-old male patient was referred to the Department of Endodontics at Inonu University’s Faculty of Dentistry because of severe pain in his right maxillary second molar. Clinical and radiographic examinations identified unusual roots and root canals anatomy, and CBCT was planned in order to understand the nature of these variations. Cleaning and shaping procedures were performed using the crown down technique with Sybron Endo (Glendora, CA, USA) rotary instruments, and endodontic treatment was completed with gutta-percha cones and AH Plus resin sealers using the cold lateral compaction technique.Conclusions. The maxillary second molar exhibits aberrations and variations in terms of the numbers and configurations of its roots and root canals, and CBCT can be a useful imaging technique in endodontics.

scholarly journals SIX CANALLED MAXILLARY FIRST MOLARS. A CASE REPORT

2020 ◽  
Vol 4 (11) ◽  
Author(s):  
Ruchika Gupta Dewan ◽  
Anchal Aggarwal ◽  
Mandira Gulati ◽  
Unnavi Chauhan
Keyword(s):  
Case Report ◽  
Endodontic Treatment ◽  
Internal Anatomy ◽  
Cavity Preparation ◽  
Root Canals ◽  
Gutta Percha ◽  
Rotary Instruments ◽  
Working Length ◽  
Maxillary Molar ◽  
Canal Systems

Aim:  This  Case  Report  describes  two  rare  cases  of  clinical  management of  maxillary  first  molars  with  six  root  canals  with  special  reference  to  radiographic  interpretation  and  diagnosis. Background:  The  study  reports  2 clinical  cases  of  endodontic  treatment  of maxillary  first  molars    with    six    root  canals.    Case Description: The  access  cavity  was  prepared  using  a  slow  speed  round  bur.  The  teeth  were    diagnosed    with  irreversible    pulpitis  and    then  anesthetized  for  an  endodontic  access  cavity    preparation.  Clinical  evaluation  of  the  internal  anatomy  revealed  3  principle  root  canal  systems:  mesiobuccal  (MB),  distobuccal  (DB),  and  palatal  in  each  tooth. The  working  length  was  determined  and  the radiographs  were  taken  for  all  the  roots  i.e  mesiobuccal,  distobuccal  and  palatal  separately  after  placing  instruments  in  each.  The  cleaning  and  shaping  was  performed  using  ProTaper  Universal  rotary  instruments.  Irrigation  between  each  instrument  was  done.  The  canals  were  dried  and  obturation  was  performed  using  cold lateral  compaction  of  gutta-percha  and  a  resin-based  sealer.  The  teeth  were  then  restored  with  a  posterior  composite  restoration.  The  patients  were  advised  a  full-coverage  crown.   Conclusion:  A  good  knowledge  of  tooth  morphology,  careful  interpretation  of  angled  radiographs,  proper  access  cavity  preparation  and  a  detailed  exploration  of  the  interior  of  the  tooth  is  needed  to  ensure  a  proper  endodontic  treatment. Clinical Significance:  Prevalence of teeth with such  complex  internal  anatomy is a rare anomaly. However, a sound knowledge of the internal anatomy can aid in its adequate management.   Keywords:  maxillary  molar,  six  canals,  altered anatomy

scholarly journals Endodontic treatment of maxillary second molar with two roots: A case report

2020 ◽  
Vol 11 (1) ◽  
pp. 86-89
Author(s):  
Dajana Nogo-Živanović ◽  
Dragan Ivanović ◽  
Tanja Ivanović ◽  
Ivana Simić
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Cavity Preparation ◽  
Second Molar ◽  
Root Canals ◽  
Gutta Percha ◽  
Maxillary Molar ◽  
Preoperative Diagnostic ◽  
Root Canal System

Introduction. The success of endodontic treatment depends on the adequate biomechanical preparation and obturation of the entire root canal system. The untreated or poorly debrided/obturated root canals are among the most frequent causes of endodontic treatment failure. The endodontic treatment of maxillary molar has the highest failure rates due to the complexity of their root canal anatomy. The aim of the study is to present the endodontic treatment of maxillary second molar with two roots and two canals. Case report. The clinical case report presents the endodontic treatment of maxillary second molar with two roots and two canals in a patient, aged 32 years. After the analysis of preoperative diagnostic radiograph, opening the pulp chamber and access cavity preparation, two canal orifices were localized. After the biomechanical preparation, root canals were obturated with the Gutta-percha points and sealer during the same visit. Conclusion. Although maxillary second molar most commonly varies in terms of the number of root canals in the buccal roots, less common variations in anatomical and morphological traits, such as the presence of two roots and two canals, should be considered during endodontic treatment.

scholarly journals Endodontic Treatment of a Mandibular Molar with Radix Paramolaris: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Ove Peters ◽  
Samer Ebeid ◽  
Raymond Scott ◽  
Shreyas Oza ◽  
Julian Shen ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Anatomical Variations ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Mandibular Molars ◽  
Mandibular Molar ◽  
Root Canal Morphology ◽  
Root Canal System ◽  
Canal Morphology

Anatomical variations of the root canal system of mandibular molars are common and often present challenges for endodontic treatment. In some cases, an additional root is located in the distolingual, radix entomolaris (RE), or more rarely in the buccal, radix paramolaris (RP). This case report illustrates rare nonsurgical retreatment of the complex root canal morphology of a RP and demonstrates the utility of cone-beam computed tomography (CBCT) and 3D printing in managing such a case. Underscored is the need for clinicians to understand the possible variations of root canal morphology of mandibular molars and the role CBCT imaging can play in addition to periapical radiographs in order to successfully treat a tooth with radix paramolaris.

scholarly journals Endodontic Management of a Maxillary First Molar with Two Palatal Canals and a Single Buccal Canal: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Leila Atash biz Yeganeh ◽  
Mamak Adel ◽  
Reza Vahedi ◽  
Maryam Tofangchiha
Keyword(s):  
Computed Tomography ◽  
Treatment Outcome ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Root Canals ◽  
Type Iv ◽  
Maxillary Molars ◽  
Root Canal Morphology ◽  
Canal Morphology

Thorough knowledge of root canal morphology is essential for the endodontic therapy. There are rare variations in canal number and configuration in maxillary molars, which could affect treatment outcome. This paper presents the endodontic management of a maxillary first molar with two palatal canals in one root (Vertucci type IV) and a single buccal canal. In this paper cone-beam computed tomography was made to asses this morphology. This paper is intended to reinforce clinician’s awareness of the rare morphology of root canals.

scholarly journals C-shaped canal configuration in lower molar - Case report

2015 ◽  
Vol 18 (2) ◽  
pp. 115
Author(s):  
Lauren Grandi Dos Santos ◽  
Amanda Nunes Gallas ◽  
Josué Martos ◽  
Luiz Fernando Machado Silveira
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Anatomical Variation ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Second Molar ◽  
Gutta Percha ◽  
Mandibular Second Molar ◽  
Lower Molar

The C-shape configuration in molars it’s an anatomical variation that difficult the diagnosis and treatment. The aim of this study was to report a case of C-shape endodontic configuration in mandibular second molar. The radiographic examination of one patient revealed the extent of caries in the mesial aspect of mandibular second molar, without the presence of periapical lesion and was clinically noted the C-shape configuration of the root canal, extending from the mesiobuccal to the distal canal. Endodontic therapy was performed and after the root canal obturation with gutta-percha cones and endodontic cement the tooth was restored. We conclude that the anatomical condition in C-shape, although it brings many difficulties for the endodontic treatment, does not preclude the tooth rehabilitation.

scholarly journals Evolutionary Leap in Endodontics. Case report

2021 ◽  
Vol 10 (3) ◽  
pp. e44110313538
Author(s):  
Jose Maurício Paradella de Camargo ◽  
Rafael Verardino de Camargo ◽  
Luciano Tavares Angelo Cintra ◽  
Flávio Duarte Faria ◽  
Alberto Consolaro ◽  
...  
Keyword(s):  
Conventional Technique ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Risk Of Fracture ◽  
Root Canals ◽  
Gutta Percha ◽  
Ah Plus ◽  
Niti Instruments ◽  
Antiseptic Solutions ◽  
Reduced Risk

The Leap protocol combines the newest and most active association of reciprocal-rotary instrumentation, aluminum insert ultrasonic, and diode laser. The reciprocal-rotary technique consists of Niti instruments used in different motions depending on the stage of the treatment and promotes the balanced cutting effectiveness and reduced risk of fracture files. Moreover, it creates a centered and tapered shape. The aluminum tip for the ultrasonic unit delivers agitation, emulsification, and cavitation of antiseptic solutions that improve the cleaning. The dye and laser use cause the ablation and final disinfection. This paper describes the case of a patient with asymptomatic apical periodontitis in an upper first right molar submitted to endodontic treatment performed with Leap protocol. After conventional procedures, the root canals were prepared by using reciprocal-rotary instrumentation techniques. Between each file a new solution was placed and activated with the ultrasonic handpiece. At the end of instrumentation, the root canals were aspirated, dried with paper points, the indocyanine dye was placed into the root canals and, DaVinci laser was used for 30 seconds. The gutta-percha cones matching the final Niti file were used coated with AH Plus sealer. A periapical radiograph was taken to verify obturation and its anatomical complexity. Six months after the procedure, the patient was asymptomatic, and the radiographic examination showed healthy periradicular tissues. It is concluded that the use of Leap protocol in conventional endodontic treatment was effective, suggesting that this therapy may provide additional benefits to patients when compared to the conventional technique.

scholarly journals Endodontic Management of Maxillary Second Molar Tooth with a Single Root and Single Canal

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Neelam Mittal ◽  
Vijay Parashar ◽  
Prasad Suresh Patel
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Molar Tooth ◽  
Comprehensive Understanding ◽  
Second Molar ◽  
Single Root ◽  
Maxillary Molar ◽  
Root Canal Morphology ◽  
Canal Morphology

Comprehensive understanding of variations in the root canal morphology of a maxillary molar is useful for performing successful endodontic treatment in such cases. This case report describes endodontic management of a case with such aberrant root canal morphology of a maxillary second molar having a single root and single canal.

scholarly journals Endodontic Retreatment of Maxillary Second Molar with Four Roots

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Gabriel Magnucki
Keyword(s):  
Root Canal ◽  
Cone Beam ◽  
Pulp Chamber ◽  
Second Molar ◽  
Root Canals ◽  
Gutta Percha ◽  
First Case ◽  
Pain Reaction ◽  
Endodontic Retreatment ◽  
Chamber Floor

The present communication describes the endodontic retreatment of a rare four-rooted maxillary second molar. A 25-year-old patient was referred to our dental practice requesting an apicoectomy because of continuous and permanent pain reaction six months after the first endodontic treatment. The sent radiograph demonstrated three filled root canals (one mesial, two distal) and four radiographically superimposing roots (two mesial, two distal). Due to the diagnosed chronic apical periodontitis and based on the visible untreated root canal, we decided to endodontically re-treat the quadrangular tooth against the referred apicoectomy. In the first session, only the previously untreated mesiopalatal root canal was mechanically prepared and filled with a corticosteroid- and tetracycline-containing paste. After two symptom-free weeks, the gutta-percha was removed from the other canals and calcium hydroxide was applied. Another two weeks later, the four root canals, whose orifices were “irregular quadrilateral” shaped on the pulp chamber floor representing Versiani Type A, were obturated. After the verification of this rare anatomy by cone beam computed tomography, the tooth was classified as Christie’s radicular type II. One characteristic of this type is parallel running buccal and palatal roots, which caused a radiographic superimposition and probably led to the endodontic mistreatment in the first case.

Endodontic Management of a Rare Anatomic Variation of Radix Entomolaris in Mandibular First and Second Molar using Cone-beam Computed Tomography as a Diagnostic Aid

2017 ◽  
Vol 7 (1) ◽  
pp. 30-33
Author(s):  
Mahesh P Singh ◽  
Rizwan Qureshi ◽  
Santosh K Singh ◽  
Kriti Sharma
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Anatomic Variation ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Noninvasive Technique ◽  
Diagnostic Aid ◽  
Second Molar ◽  
Anatomic Variant

ABSTRACT Radix entomolaris (RE) is the presence of an extra root in the lingual aspect of the mandibular molars. This is a rare anatomic variant, prevalence of which ranges between 5.96 and 6.67% in the Indian population. For a successful endodontic management, detection of these extra roots is important. In conventional radiography, these extra roots tend to be overlapped; thus, cone- beam computed tomography (CBCT) provides a noninvasive technique to study the internal and external anatomy and aids in proper detection. The endodontic treatment of RE requires some modifications in the endodontic treatment as compared with the common two-rooted anatomic variant. This article presents a clinical case report of successful detection and endodontic man- agement of mandibular first and second molar with extralingual root using CBCT as a diagnostic tool. This case report involves the endodontic treatment and presence of extra roots in both the mandibular first molar and second molar simultaneously in a single patient of Indian origin, which is a rare finding and has not been reported in endodontic literature till date. How to cite this article Qureshi R, Agarwal M, Singh MP, Singh SK, Sharma K. Endodontic Management of a Rare Ana- tomic Variation of Radix Entomolaris in Mandibular First and Second Molar using Cone-beam Computed Tomography as a Diagnostic Aid. Int J Prosthodont Restor Dent 2017;7(1):30-33.

scholarly journals Maxillary Canine with two roots and two canals: A case report

2021 ◽  
Vol 10 (2) ◽  
pp. e36410212599
Author(s):  
Fausto Rodrigo Victorino ◽  
Isabela Silva Rocha ◽  
Rafael de Oliveira Lazarin ◽  
Marcelo Augusto Seron ◽  
Gustavo Sivieri-Araujo ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Correct Diagnosis ◽  
Anatomical Variations ◽  
Maxillary Canine ◽  
Root Canals ◽  
Gutta Percha ◽  
Ah Plus ◽  
Radiolucent Lesion ◽  
Root Canal System

Introduction: Knowledge of the anatomy and root canal system is of fundamental importance for a successful endodontic treatment. Maxillary canines unusually possess two root canals. Aim: The present study aims to present a maxillary canine with two roots and two canals through a clinical case. Case report: A male patient was referred for the treatment of a root perforation of the tooth 23. Clinical examination revealed the presence of vestibular fistula and mild pain with vertical and horizontal percussion. Through a tomographic examination, the presence of two roots and two root canals was observed in addition to a radiolucent lesion at the middle third of the roots but without perforation in the middle third. Coronary opening and the localization of the vestibular and palatal canals were performed. The root canal length was performed with Romi Apex A-15® foraminal locator and instrumentation was conducted by using Protaper Next® system. Due to the presence of fistula, calcium hydroxide manipulated with propylene glycol was used as intracanal medication for 30 days. After this period, the root canals were filled with gutta-percha and AH Plus® cement and a new tomographic examination was undertaken, which confirmed the complete filling of the root canals and the absence of root perforation. Conclusion: Given the above, endodontic professionals shall be aware of possible anatomical variations and make use of auxiliary resources when appropriate, such as cone beam computed tomography (CBCT), to ensure correct diagnosis and, consequently, a successful root canal treatment.

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