scholarly journals A Rare Case of Single-Rooted Mandibular Second Molar with Single Canal

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Abdulmohsen Alfadley ◽  
Ahmad Alquraishi ◽  
Yaser Almazrou ◽  
Fahd Aljarbou

The root canal anatomy of mandibular second molar teeth is known to be highly variable. Whilst the most frequently seen configuration is two mesial canals and one distal canal, other variations such as four canals, two canals, and C-shaped canal system do also exist. This case report describes the diagnosis and management of unusual root canal configuration of a mandibular second molar, with one canal in a single conical root, using the contemporary advancements in endodontics. Following clinical and radiographic examinations of the case, a diagnosis of symptomatic irreversible pulpitis with symptomatic apical periodontitis of tooth #47 was established, and root canal treatment followed by composite buildup and crown were planned. Clinicians should be aware of the different anatomic variants each tooth may exhibit. Furthermore, clinicians need to possess the proper knowledge and skills that allow them to utilize the diagnostic and therapeutic tools available at their disposal in order to optimize the quality of care provided to their patients.

2021 ◽  
Vol 11 (22) ◽  
pp. 11002
Author(s):  
David E. Jaramillo ◽  
Alberto R. Arriola

Background: This study evaluated the efficacy of a multisonic technology for the debridement of vital and necrotic pulp tissues in freshly extracted human mandibular molar teeth. Methods: Twelve teeth with a diagnosis of symptomatic irreversible pulpitis (SIP) and twelve teeth with a diagnosis of pulp necrosis with symptomatic apical periodontitis (SAP) were extracted. The GentleWave® procedure was performed on 10 teeth from each group. Four non-treated teeth served as histologic controls. Histological consecutive 5 µm sections were obtained from the apical, middle, and coronal portion of the canals. The canals were evaluated for the presence of pulpal debris and bacteria. Results: In nine out of the ten specimens with SIP, no pulpal debris was detected in any portion of the canals. In the necrotic pulp group, eight out of the ten specimens had no detectable pulpal debris in any portion of the canal spaces. No bacteria were detected in the main canals, isthmuses, or lateral canals, but were detected deep within the dentinal tubules in 10 specimens. Conclusions: This study demonstrated that the multisonic technology was effective at removing vital and necrotic pulp tissue as well as bacteria from the root canal system, including inaccessible areas.


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.


2016 ◽  
Vol 1 (1) ◽  
pp. 63
Author(s):  
Gunawan Raharjo ◽  
Pribadi Santosa

Perawatan saluran akar (PSA) satu kunjungan merupakan perawatan saluran akar dengan prinsip triad endodontik (cleaning and shaping, medikasi dan obturasi saluran akar) diselesaikan dalam satu kali kunjungan. Keuntungan perawatan adalah memperkecil risiko kontaminasi mikroorganisme dalam saluran akar antar kunjungan, menghemat waktu perawatan karena tidak dilakukan penggantian medikasi intrakanal tetapi tanpa mengurangi kualitas hasil perawatan. Pulpitis ireversibel merupakan salah satu indikasi perawatan saluran akar satu kunjungan. Gigi posterior pasca PSA dengan kehilangan jaringan sehat yang tidak terlalu banyak dapat dilakukan restorasi menggunakan bahan resin komposit dengan penguat pasak parallel self-threading. Tujuan laporan kasus ini untuk menunjukkan keberhasilan perawatan saluran satu kunjungan pada kasus pulpitis ireversibel dan restorasi akhir menggunakan resin komposit yang diperkuat pasak parallel self-threading. Pasien laki-laki 47 tahun dilakukan perawatan saluran akar pada gigi molar kedua kanan mandibula dengan diagnosa pulpitis ireversibel. Pada pemeriksaan radiograf terlihat kavitas yang melibatkan pulpa dan tidak terdapat area radiolusen pada daerah periapikal. Kasus ini dilakukan PSA satu kunjungan dilanjutkan restorasi resin komposit dengan penguat pasak parallel self-threading pada kunjungan berikutnya. Perawatan saluran akar satu kunjungan disertai restorasi resin komposit dengan penguat pasak parallel self-threading berhasil dilakukan pada kasus pulpitis ireversibel pada gigi molar kedua kanan mandibula. Abstract: One Visit Endodontic Followed with Parallel Self Threading Dowel Reinforced Composite Resin Restoration on The Irreversible Pulpitis of Mandibular Right Second Molar. One visit endodontic root canal treatment (RCT) which endodontic triad (cleaning and shaping, medication, and obturation of the root canal) were completed in one visit. The advantages treatment is to minimize the risk of microorganisms contamination in the root canal, that saves time. In this treatment there is no intracanal medication replacement without reducing the quality of treatment. Irreversible pulpitis is one of one visit endodontic’s indications. Parallel self-threading dowel reinforced composite resin can be performed at minimal destruction post endodontically treated posterior teeth. The purpose of this case report is to demonstrate the irreversible pulpitis were treated by one visit root canal treatment successfully and its restorations with parallel self-threading dowel reinforced composite resin. Male patients 47years old who diagnosed irreversible pulpitis was treated by one visit root canal treatment on the mandibular right second molars. The radiographs image showed cavity involving to the pulp and there was no radiolucent area in the periapical region. Endodontic treatment was done by one visit root canal treatment and followed with composite resin restoration with parallel self-threading dowel. One visit endodontic followed with restored using composite resin material that reinforced by parallel self-threading dowel successfully performed on the mandibular right second molar with irreversible pulpitis diagnosis.


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)


2021 ◽  
pp. 74-75
Author(s):  
Ghosh S ◽  
Uke M

The mandibular molars are more prone to aberrations of canals. They include bifurcation and trifurcation of canals, fusion of roots, extreme canal curvatures and c-shaped canals which makes it difcult to diagnose and manage. The failure to treat them leads to re-infection and persistence of infection in the tooth. Hence, it is of utmost importance for the clinician to know the morphologic variations. The present case series aims to give a clinical insight of such aberrations. The ten cases presents with mandibular second molar with “c” shaped root canal system, which was diagnosed with Radiovisiography. The cases were treated endodontically and successfully managed


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.


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