Endodontic management  of maxillary first molar with two palatal canals

Having a thorough knowledge about the internal anatomy of a tooth and its possible variations is an important aspect for the success of a root canal therapy. Variations in the number of roots, root canals and configurations affect the treatment outcome. Moreover, missed canals make up for the highest chances of failure of endodontic therapy(1). A maxillary first molar shows lot of variations in the anatomy. Although finding MB2 canal has now become a routine procedure, but variations in the palatal canal is still aberrant which concerns the clinicians. With the advancements in radiographic procedures, it has now become an easy task to look for aberrations in tooth anatomy. One such advancement is the Cone Beam Computed Tomography (CBCT) which acts as the third eye for clinicians. It helps in accurate diagnosis and in negotiating the complex morphologic variations in root canals(2). This case report presents the endodontic management of a maxillary first molar presenting with five canals with two palatal canals confirmed with the aid of Cone Beam Computed Tomography.

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

Case Reports in Dentistry ◽

10.1155/2012/389387 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 2

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.

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Cone beam-computed tomography as an indispensable tool in the management of radiculous premolar: a case report

Journal of Research in Dentistry ◽

10.19177/jrd.v4e120161-3 ◽

2016 ◽

Vol 4 (1) ◽

pp. 1

Author(s):

Shristhi Sharma ◽

Ananth Raghav Sharma ◽

Vivek Kumar Rai ◽

Ronak Choudhary

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Anatomical Variations ◽

Endodontic Treatment ◽

Cone Beam ◽

Internal Anatomy ◽

Indispensable Tool ◽

Rule Out

Background: Internal anatomy of maxillary first premolars is particularly multifaceted on account of the variation in number of roots and canal configuration. Maxillary first premolars with 3 roots are called as small molar or “radiculous” because of their similar anatomy to the maxillary first molars. The most demanding step in endodontic treatment is identification and proper access to pulp canals of certain teeth with atypical canal configurations. Methods of identification of such premolars can be by various aides.Case Presentation: The present case describes the application of Cone Beam-Computed Tomography in the diagnosis of extra root with extra canal in a three rooted maxillary right first premolar.Conclusions: Proper knowledge of the anatomical variations is a must for an endodontist to make a treatment successful. Utilizing the latest technology along with the traditional concepts can surely rule out the inaccuracy in the treatment involved in such cases.

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Endodontic Treatment of Bilateral Maxillary First Premolars with Three Roots Using CBCT: A Case Report

Case Reports in Dentistry ◽

10.1155/2014/505676 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Sujatha Gopal ◽

Gijo John ◽

K. Pavan Kumar ◽

Swarna Latha ◽

Suma Latha ◽

...

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Endodontic Treatment ◽

Cone Beam ◽

Rare Occurrence ◽

Internal Anatomy ◽

Tooth Structure ◽

Determining Factors

One of the determining factors for the success of endodontic therapy is understanding the morphological anatomy of the tooth structure and its variants in relation to its template anatomy. The internal anatomy of maxillary first premolars is particularly complex due to their variation in number of roots and canal configuration. However, the bilateral presence of three roots in a maxillary first premolar is of rare occurrence. This case report describes the unusual anatomy bilaterally detected in maxillary first premolars using Cone-Beam Computed Tomography.

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Detecting second mesiobuccal canal in maxillary first molars in Erbil citizens: CBCT Retrospective study.

Erbil Dental Journal ◽

10.15218/edj.2020.16 ◽

2020 ◽

Vol 3 (2) ◽

pp. 112-118

Author(s):

Mustafa Mohamadamin ◽

Karam Thiab ◽

Ribwar Khalid ◽

Khidir Khidir

Keyword(s):

Computed Tomography ◽

Retrospective Study ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

Root Canal Therapy ◽

Root Canals ◽

Complex Morphology ◽

Individual Variations ◽

The Common ◽

Second Mesiobuccal Canal

Background and Objectives: The success of root canal therapy is depending on cleaning and shaping of the root canals. The root canals have complex morphology and wide individual variations. The purpose of this study was to investigate the prevalence of second mesiobuccal canal (MB2) of maxillary first molars in Erbil population using cone beam computed tomography (CBCT). Materials and Methods: A total of 101 permanent maxillary first molars were randomly se-lected from Erbil citizens. All teeth were examined for the number of root canals and the pres-ence of second mesiobuccal canal by Cone Beam Computed Tomography (CBCT). Result: The MB2 canal was found in 80.2% (the 95% CI is 72.3% to 87.1%) of the analyzed cas-es (81/101). Conclusion: The second mesiobuccal canal was found in a high percentage of the samples. And it is within normal magnitude in comparison with the common findings in the literature. These results indicate that CBCT is an effective, high-precision diagnostic tool for detecting canals. Keywords: Maxillary first molars, second mesiobuccal canal, cone beam computed tomography, Erbil Citizens.

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Endodontic Management of Maxillary First Molar with Seven Root Canals Diagnosed Using Cone-beam Computed Tomography: A Case Report

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1789 ◽

2021 ◽

Vol 12 (1) ◽

pp. 89-93

Author(s):

Arunajatesan Subbiya ◽

Suresh Mitthra ◽

Ravindranath Megha ◽

Venkatachalam Prakash

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

Root Canals

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MANAGEMENT OF C-SHAPED CANAL IN MANDIBULAR SECOND MOLAR: A CASE REPORT

10.36106/ijsr/1402462 ◽

2021 ◽

pp. 66-68

Author(s):

Shivangi Shreya ◽

C.K. Wang

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Unusual Case ◽

Cone Beam ◽

Second Molar ◽

Root Canals ◽

Canal Systems ◽

Mandibular Second Molar

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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