scholarly journals A Case Report on Endodontic Management of a Rare Vertucci Type III Maxillary Canine

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Hrudi Sundar Sahoo ◽  
R. Kurinji Amalavathy ◽  
D. Pavani

Success in root canal treatment demands a thorough knowledge of usual root canal anatomy and its variations pertaining to every tooth. Variations in root canal anatomy are often accompanied by complex orientation of pulp tissues making a thorough mechanical and chemical debridement a challenge. Inability to treat such complexities often leads to endodontic failure. Upon a quick review of the literature, it has been noted that very few root canal complexities in maxillary canines have been reported. To be a successful clinician, one must be aware of such rare anatomical instances in maxillary canines. Based on possible branching of the root canal system, root canal configurations of permanent teeth were divided into eight different types by Vertucci. The classification included single to three separate root canals. This case report presents a permanent right maxillary canine which is single rooted having a single canal orifice and a root canal dividing into two canals (buccal and palatal) at the middle third of the root and then joining at the apical third, before exiting with a single apical foramen (Vertucci type III).

2021 ◽  
Vol 12 (1) ◽  
pp. 19-20
Author(s):  
Prabhleen Kaur Brar ◽  
Rajdeep Brar ◽  
Saurabh Gupta ◽  
Ramandeep Singh Gambhir

Background: Variations in the external morphologic features of the teeth occur in individuals and so does the internal morphology of the crown and the root. Mandibular anteriors are known to have aberrant canals. Based on the possible branching of the root canal system, root canal configurations of permanent teeth were divided into eight different types by Vertucci. Aim: This paper presents a rare case of successful endodontic treatment of mandibular lateral incisors with Vertucci type III canal morphology. Methods: Conventional root canal treatment was done for the mandibular anterior teeth. Results: The treatment was successful and the patient was asymptomatic on follow up, suggesting that conventional methods for root canal treatment are sufficient if proper diagnosis of canal anatomy is done. Conclusion: This case report highlights the importance of adequate pre-operative radiograph evaluation to treat any mandibular anterior tooth with variable anatomy.


2021 ◽  
Vol 10 (2) ◽  
pp. e36410212599
Author(s):  
Fausto Rodrigo Victorino ◽  
Isabela Silva Rocha ◽  
Rafael de Oliveira Lazarin ◽  
Marcelo Augusto Seron ◽  
Gustavo Sivieri-Araujo ◽  
...  

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.


2012 ◽  
Vol 2 (8) ◽  
pp. 406-407
Author(s):  
Dr. Ramta Bansal ◽  
◽  
Dr. Aditya Jain ◽  
Dr. Ramta Bansal

Author(s):  
Girish Nanjannawar ◽  
Saquib Mulla ◽  
Divya Gupta ◽  
Sharad Kamat

It is a well-recognised fact that incomplete cleaning, shaping and obturation of root canals will lead to endodontic failure. Mandibular second premolars usually have a single root and a single root canal. The presence of four separate roots and four root canals is quite rare. Hence, a comprehensive knowledge about the normal canal configuration along with its variations becomes an indispensable pre-requisite to achieve the success of endodontic treatment. Authors hereby present a case of a 26-year-old male patient and describe its succesful treatment of the mandibular second premolar with four roots and four root canals. The clinical implications of this paper aim at establishing an accurate diagnosis of the root canal system using diagnostic aids such as angulated radiographs and making use of advanced endodontic instruments for successful retreatment of endodontic therapy (C+ files and NiTi rotary endodontic instruments).


2019 ◽  
Vol 10 (2) ◽  
pp. 179-182
Author(s):  
Mario Buonvivere ◽  
Matteo Buonvivere

The proper knowledge of the root canal system anatomy is crucial to perform successful endodontic treatments. Maxillary lateral incisors usually have a single root. However, aberrant canal configurations of this tooth have been reported in the literature. The clinician should be aware of the difficulties arising from this more complex root canal anatomy and should be able to manage them. A rare case of a maxillary lateral incisor with three root canals is presented in this article; the challenge of diagnosis and treatment in similar situations is also discussed.


2018 ◽  
Vol 5 (2) ◽  
pp. 53-56
Author(s):  
Deepa Kunwar ◽  
Bhawana Adhikari ◽  
Vanita Gautam ◽  
Chetna Arora ◽  
Snigdha Subham ◽  
...  

To report a case of endodontic treatment of a maxillary canine in which an extra canal was located and successfully treated. Endodontic therapy is essentially a micro neurologic surgical procedure involving complete debridement and three dimensional obturation of the root canal system to obtain a fluid impervious seal. The foundation of the procedure is based on the intimate knowledge and thorough understanding of the anatomy of both the pulp chamber and the root-canal system. A tooth exhibit variations in their root canal anatomy and poses a challenge in diagnosis and treatment. In the teeth particularly with additional root canals or anatomical variations, root canals are often left untreated and that would be the main reason for unfavourable outcome of the treatment. Maxillary canine are statistically more commonly single rooted, single canal but rarely may have single root with two root canals.Journal of Universal College of Medical Sciences, Vol. 5, No. 2, 2017, Page: 53-56 


2021 ◽  
Vol 8 (5) ◽  
pp. 221-224
Author(s):  
Anupriya Bhadoria ◽  
Vineeta Nikhil ◽  
Padmanabh Jha

One of the major causes of root canal treatment failure is inability to find and manage an extra canal (s). For achieving successful endodontic therapy, knowledge of root canal morphology and variations in the root is important. The purpose of this case report is to report a rare case of maxillary canine with two root canals. It describes the treatment of a permanent maxillary left canine having an additional canal (Vertucci’s Type II canal configuration) present in a 48 year old female patient. Clinical examination revealed a maxillary canine with a previously initiated access. Radiographic examination revealed a previously initiated access in left maxillary canine, having an additional canal. Keywords: Endodontic treatment, maxillary canine, root canal anatomy, two root canals.


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.


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 1 (1) ◽  
pp. 01-02
Author(s):  
Mohammed M Alhajj ◽  
Tahmineh Artin ◽  
Ndia Khalifarena

Foreign bodies in root canals are rarely seen, and usually objects are accidently lodged and broken in root canals by the patients themselves. The occurrence of a foreign body, such as a metal screw, staple pin, sewing needle, pencil lead, bead or toothpick in the root canal system, makes the eradication of microorganisms impossible. Due to difficulties of eradicating microorganisms, foreign bodies may become sources of infection. These objects must be removed. This case report describes a rare clinical case in which a sewing needle, inserted into the root canal by the patient, was removed the orthograde approach with the aid of ultrasonic devices.


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