scholarly journals Endodontic Management of Radix Entomolaris and pulp stone in Mandibular First Molar of 25 mm length - Case Report

2019 ◽  
Vol 4 (2) ◽  
pp. 40-42
Author(s):  
Kadambari Padmanabhan ◽  

A thorough knowledge and understanding of the root canal morphology including the variations is important for the successful outcome of endodontic treatment. The success of an endodontic treatment depends on the eradication of microbes from the root-canal system and prevention of re-infection [1] . The variations in mandibular first molar involves the number of roots, the number of root canals, and morphology. Radix entomolaris and the radix paramolaris are the additional root located lingually and buccally respectively [2] . This case report discusses endodontic treatment of a mandibular first molar with a radix entomolaris and pulp stone.

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.


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.


2015 ◽  
Vol 61 (1) ◽  
pp. 45-48
Author(s):  
Paula Perlea ◽  
◽  
Cristina Nistor ◽  
Alexandru Andrei Iliescu ◽  
Daniel Nistor ◽  
...  

The complex root canal system of maxillary second premolars shows variations among different populations. The aim of this study was to evaluate the root canal morphology of second maxillary premolars in the romanian population. The number of roots, root canals and the root canal configuration were investigated using radiographs in both buccal-oral and mesio-distal incidence. They were categorized using Weine’s classifi cation. Among the 480 teeth, 90.83% had one root and 66.67% one root canal. The frequency of secondary maxillary premolars with two root canals (33.12%) shouldn’t be underestimated. Knowing the variations of the internal root canal morphology of maxillary second premolars in a certain population can lead the clinician to a better approach of the endodontic treatment.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Roshan Peiris ◽  
Uthpala Malwatte ◽  
Janak Abayakoon ◽  
Anuradha Wettasinghe

The present study was conducted to determine the number of roots and morphology of the root canal system of permanent mandibular first molars (M1) in a Sri Lankan population. Sample of 529 M1 teeth was used. The number of roots was examined and the lengths of the mesial and distal roots were measured to the nearest 0.01 mm. Vacuum injection protocol was used to inject China ink into the root canal system, making it transparent. Root canal morphology was recorded using Vertucci’s classification. Presence of furcation canals, position of lateral canals, intercanal communications, level of bifurcation, and convergence of the root canal system were recorded. M1 showed three roots in 4.1% of the sample. Commonest root canal morphology of the mesial root was type IV and the distal root was type I. The level of bifurcation of the root canals was commonly observed in the cervical one-third of the root while convergence was observed in the apical one-third in both roots. Prevalence of three rooted mandibular first molars is less than 5%. Mesial root showed the most variable canal morphology. Prevalence of furcation canals was 1.5% while that of middle mesial canals was 0.2%.


2010 ◽  
Vol 57 (3) ◽  
pp. 163-169
Author(s):  
Jugoslav Ilic ◽  
Mirjana Vujaskovic ◽  
Ruzica Nedeljkovic

The most important requirements for successful endodontic treatment are accurate diagnosis and good knowledge of canal morphology. A mandibular second premolars rarely have more than one root and one root canal. Data from the literature indicate low percentage of a mandibular premolars with three or more root canals. Unusual morphology of the root canal system is diagnostic and therapeutic challenge. It is very important to analyze preoperative radiograph and to explore thoroughly the entrance of the root canal. The aim of this study was to present two patients who had lower second premolars with three canals that required endodontic therapy.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Claudio Maniglia-Ferreira ◽  
Fabio de Almeida Gomes ◽  
Bruno Carvalho Sousa

Success in root canal treatment is achieved after thorough cleaning, shaping, and obturation of the root canal system. This clinical case describes conventional root canal treatment of an unusual mandibular first molar with six root canals. The prognosis for endodontic treatment in teeth with abnormal morphology is unfavorable if the clinician fails to recognize extra root canals.


2016 ◽  
Vol 4 (2) ◽  
pp. 37
Author(s):  
Rakhi Ajith ◽  
Noushad M C ◽  
Jamsheed E T ◽  
Muhammad Askar

Aim: The thorough knowledge of tooth morphology and its variations is essential for successful endodontic treatment.Case report: This article reports an unusual root canal configuration that was detected in a maxillary central incisor with two root canals , mandibular canine with two canals and mandibular canine with two roots and  root canals.Conclusions: These case reports  increase  the awareness of clinicians on variations in the root canal anatomy so that complete  disinfection and obturation of the root canal system is possible.


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Gautam P. Badole ◽  
Rakesh N. Bahadure ◽  
M. M. Warhadpande ◽  
Rajesh Kubde

A thorough knowledge of root canal morphology is a prerequisite for the endodontic therapy. The maxillary molars, especially the second molars, have the most complicated root canal system in permanent dentition. There are many variations in canal number and configuration in maxillary molars. Treatment may be unsuccessful because the dentist may fail to recognize the unusual canal configuration. The present paper describes a case of a right maxillary second molar with a canal configuration rarely reported in the literature. The tooth had four roots with four root canals, two individual palatal roots (mesiopalatal and distopalatal) with their own separate canals. The mesiobuccal and distobuccal root had normal anatomy. This paper may intensify the complexity of maxillary molar variation and is intended to reinforce clinician’s awareness of the rare morphology of root canals.


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.


2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Vijay Reddy Venumuddala ◽  
M. Sridhar ◽  
M. Rajasekaran ◽  
Saravanan Poorni ◽  
Gnanaprakasam Senthilkumaran

The knowledge of variations in root canal morphology is critical for a successful endodontic treatment. This article presents the endodontic management of a unique case of mandibular molar with middle distal canal which is quite uncommon.


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