scholarly journals Endodontic treatment of a mandibular hypertaurodontic second molar

2015 ◽  
Vol 63 (2) ◽  
pp. 203-206
Author(s):  
Emmanuel João Nogueira Leal SILVA ◽  
Plínio Mendes SENNA ◽  
Tauby de Souza COUTINHO FILHO ◽  
Renato Liess KREBS

Taurodontism is the consequence of a developmental disorder in which the invagination of Hertwig's epithelial root sheath doesn't occur at a proper level. As a result, the pulp body and the chamber of a multi-root tooth, usually permanent molar teeth, are enlarged by the apical displacement of the pulp floor. Despite its clinically normal appearance, the morphological variation of this tooth can be diagnosed by a routine radiographic exam that shows enlarged apico-occlusal pulp chamber and short roots. Due to these anatomical variations, endodontic treatment of a taurodontic element is a clinical challenge given the complexity of localization and instrumentation of the root canal system. According to the degree of displacement of the pulp floor, taurodontism can be classified as: hypotaurodontism, mesotaurodontism and hypertaurodontism. This study objective is to report a clinical case of a patient who was submitted to endodontic treatment of the second inferior molar affected by hypertaurodontism.

2021 ◽  
Vol 30 (03) ◽  
pp. 209-214
Author(s):  
Mansoor Khan Khan ◽  
◽  
Alia Ahmed ◽  
Muhammad Qasim Javed

OBJECTIVE: The aim of the study is to assess the variations in the root canal configuration of maxillary second permanent molars in the Pakistani subpopulation by using different clinical aids in vivo. METHODOLOGY: The Cross-sectional analytical study was conducted from April to October 2018 at the College of Dentistry, Riphah International University, Pakistan. The root canal configurations of Maxillary second molars were evaluated in 95 adult patients that presented to the Operative Department, after obtaining consent. After access cavity preparation the orifices were identified and cross checked using 2.5x magnification and different clinical tests. Data analysis was done by utilizing SPSS version 23. RESULTS: Out of the 95 teeth 6(6.3%) teeth had a single canal, 7(7.4%) teeth had two canals, 58(61.1%) teeth had three canals and 24(25.3%) teeth had four canals. Age-wise analysis of the frequency of different canals showed that prevalence of molars with three canals was significantly higher in the subjects with age between 41 and 50 years. Conclusion: Overall, the study noted four morphological variations in the root canal configuration of Maxillary second molar teeth in Pakistani subpopulation. Hence, while executing the endodontic treatment in the maxillary second molars a thorough assessment of the root canal system should be carried out. The results of the study can guide Pakistani dentists. KEYWORDS: Permanent Maxillary second molar, Dental Morphology, Endodontics, Pakistan


2015 ◽  
Vol 16 (1) ◽  
pp. 77-80 ◽  
Author(s):  
Dilek Helvacioglu-Yigit

ABSTRACT Aim C-shaped canal system is a seldom-found root canal anatomy which displays a challenge in all stages of endodontic treatment. According to the literature, this type of canal morphology is not a common finding in the mandibular first molar teeth. Background This case report presents endodontic management of a mandibular first molar with a C-shaped canal system. Case report Root canal system was cleaned and shaped by nickel-titanium (NiTi) rotary instruments combined with selfadjusting file (SAF). Obturation was performed using warm, vertical condensation combined with the injection of warm gutta-percha. Follow-up examination 12 months later showed that the tooth was asymptomatic. The radiological findings presented no signs of periapical pathology. Clinical significance The clinician must be aware of the occurence and complexity of C-shaped canals in mandibular first molar teeth to perform a successful root canal treatment. The supplementary use of SAF after application of rotary instruments in C-shaped root canals might be a promising approach in endodontic treatment of this type of canal morphology. How to cite this article Helvacioglu-Yigit D. Endodontic Management of C-shaped Root Canal System of Mandibular First Molar by using a modified Technique of Self-adjusting File System. J Contemp Dent Pract 2015;16(1):77-80.


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 2016 ◽  
pp. 1-4
Author(s):  
Nurhat Ozkalayci ◽  
Mehmet Yetmez

The aim of this study is to present a new upper molar distalization appliance called Cise distalizer designed as intraoral device supported with orthodontic mini screw for upper permanent molar distalization. The new appliance consists of eight main components. In order to understand the optimum force level, the appliance under static loading is tested by using strain gage measurement techniques. Results show that one of the open coils produces approximately 300 gr distalization force. Cise distalizer can provide totally 600 gr distalization force. This range of force level is enough for distalization of upper first and second molar teeth.


2020 ◽  
Vol 11 (1) ◽  
pp. 86-89
Author(s):  
Dajana Nogo-Živanović ◽  
Dragan Ivanović ◽  
Tanja Ivanović ◽  
Ivana Simić

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.


Author(s):  
Ove Peters ◽  
Samer Ebeid ◽  
Raymond Scott ◽  
Shreyas Oza ◽  
Julian Shen ◽  
...  

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.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Marsela Liwe ◽  
Christy N. Mintjelungan ◽  
Paulina N. Gunawan

Abstract: In children, caries occurs mostly at the age of 6 to 9 years. At the age of 6 years permanent molar teeth begin to erupt, therefore, they are more susceptible to caries. Moreover, at the age of 9 years, a period of mingled teeth where the number of permanent teeth and of the milk teeth are nearly the same. This study aimed to obtain the prevalence of dental caries of the first permanent molar among students of elementary schools in South Tomohon. This was a descriptive study with a cross-sectional design. The population of this study was 72 students aged 6-9 years old. Samples were obtained by using total sampling method. Primary data were obtained by examination of the teeth and mouth. The results showed that the prevalence of caries among students of elementary schools in South Tomohon was 68.1% (49 students). Based on gender, caries were most frequent among males (68.4%). Based on age, caries were most frequent among students of 8 years old (79.2%). Based on tooth element, tooth 36 had the highest incidence of caries (37.2%). Based on the severity of caries, dentine caries was the most frequent (46.51%).Keywords: dental caries, the first permanent molarAbstrak: Karies merupakan penyakit yang banyak menyerang anak-anak terutama umur 6 sampai 9 tahun. Pada umur 6 tahun gigi molar permanen sudah mulai tumbuh sehingga lebih rentan terkena karies dan umur 9 tahun merupakan periode gigi bercampur dimana jumlah gigi permanen dan gigi sulung dalam rongga mulut hampir sama. Penelitian ini bertujuan untuk mengetahui prevalensi karies gigi molar satu permanen pada anak di SD kecamatan Tomohon Selatan. Penelitian ini menggunakan metode deskriptif observasional dengan pendekatan potong lintang. Populasi penelitian yaitu anak umur 6 - 9 tahun di SD kecamatan Tomohon Selatan dengan jumlah 72 orang. Sampel penelitian digunakan total sampling. Metode pengambilan data secara primer yaitu dengan pemeriksaan gigi dan mulut. Hasil penelitian menunjukkan prevalensi karies pada anak-anak di SD kecamatan Tomohon Selatan mencapai 68,1% dengan jumlah 49 anak. Berdasarkan jenis kelamin angka kejadian karies tertinggi didapatkan pada anak laki-laki mencapai 26 anak (68,4%). Berdasarkan usia angka kejadian karies tertinggi didapatkan pada usia 8 tahun mencapai 19 anak (79,2%). Berdasarkan elemen gigi, gigi 36 merupakan yang paling tinggi angka kejadian kariesnya yaitu 32 gigi (37,2%) dan berdasarkan tingkat keparahan karies kejadian karies dentin yang paling tinggi yaitu mencapai 40 gigi (46,51%).Kata kunci: karies gigi, molar satu permanen


1988 ◽  
Vol 15 (3) ◽  
pp. 199-203 ◽  
Author(s):  
Ruth Evans

The incidence of lower second molar impaction was investigated, comparing the records of two samples of 200 orthodontic patients referred consecutively, in 1976 and 1986. A further study compared 50 cases showing both bilateral and unilateral impactions, with a non-impacted control group. This allowed possible causes of the impactions to be examined, particularly concerning the effect of premature loss of deciduous teeth on the distribution of crowding.


2018 ◽  
Vol 6 (9) ◽  
pp. 1735-1738 ◽  
Author(s):  
Ahmed Al Qahtani ◽  
Saleem Abdulrab ◽  
Hatem Alhadainy

2017 ◽  
Vol 11 (02) ◽  
pp. 258-263
Author(s):  
Noriko Suzuki ◽  
Hitoshi Oguchi ◽  
Yu Yamauchi ◽  
Yasuyo Karube ◽  
Yukimi Suzuki ◽  
...  

ABSTRACTThis case report aimed to report the progress of preservation therapy and response of symptoms and signs for Stage 0 of bisphosphonate-related osteonecrosis of jaw (BRONJ). A 68-year-old female was recognized having a tooth at the left upper first molar fracture upon medicating bisphosphonate (BP) in 2007. At that time, the extraction of the tooth was an absolute contraindication. Therefore, we performed preservation therapy. We observed the symptoms and signs every month. After 5 months, swelling and redness in the entire first molar tooth were seen and fistula formed partly. Bone exposure was not seen. We administrated antibiotics immediately. As a result, symptoms disappeared. On April 10, 2009, the patient visited us as she felt a sense of incongruity in the lower left first and second molar teeth. Clinically, there were no symptoms of pain. However, we observed the radiolucent finding in about 5 mm diameter at apical position by X-ray photography; we considered a possibility of Stage 0 for BRONJ. We immediately administered medicine for 5 days and the symptoms disappeared. At present, no inflammation with signs and symptoms at the upper left first molar and lower left first, second molar parts is shown. We performed preservation therapy for tooth fracture case medicating of BP. Immediate responses for inflammation and symptoms of the Stage 0 of BRONJ have led to success. Hence, dentists should perform regular clinical observation, and enough education to the patient for BRONJ is necessary.


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