The retreatment of a mandibular second premolar with unusual canal anatomy

1970 ◽  
Vol 7 (3) ◽  
pp. 298-300
Author(s):  
AEV Pai ◽  
S Gautam ◽  
M Kundabala
Keyword(s):  
Medical Journal ◽  
Case Report ◽  
Root Canal ◽  
Apical Periodontitis ◽  
Common Finding ◽  
Clinical Expertise ◽  
Complex Root ◽  
Canal System ◽  
Single Root ◽  
Root Canal System

Mandibular premolars usually have a single root and canal. Complex root canal system with atypical variations is a common finding among them. Failure to identify such a one can affect the prognosis of endodontic treatment. Apart from knowledge and sophisticated instruments, a good clinical expertise is required in identifying, tracing and treating such a root canal system. This case report is on the retreatment of a left mandibular second premolar (44) having a Vertucci's Type III canal configuration. Inability to identify this canal configuration led to a missed canal, faulty obturation and post treatment apical periodontitis. DOI: 10.3126/kumj.v7i3.2741 Kathmandu University Medical Journal (2009) Vol.7, No.3 Issue 27, 298-300

Maxillary Lateral Incisor with 3 Root Canals: A Case Report

2019 ◽  
Vol 10 (2) ◽  
pp. 179-182
Author(s):  
Mario Buonvivere ◽  
Matteo Buonvivere
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Rare Case ◽  
Lateral Incisor ◽  
Complex Root ◽  
Canal System ◽  
Root Canals ◽  
Single Root ◽  
Maxillary Lateral Incisor ◽  
Root Canal System

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.

scholarly journals Endodontic Retreatment of a Mandibular Second Premolar with Four Roots and Four Canals: A Case Report

2020 ◽  
Author(s):  
Girish Nanjannawar ◽  
Saquib Mulla ◽  
Divya Gupta ◽  
Sharad Kamat
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Accurate Diagnosis ◽  
Clinical Implications ◽  
Canal System ◽  
Root Canals ◽  
Single Root ◽  
Comprehensive Knowledge ◽  
Root Canal System ◽  
Endodontic Retreatment

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).

scholarly journals Endodontic Treatment of a Mandibular Second Premolar with Three Roots and Three Canals

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Bonny Paul ◽  
Kavita Dube
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Common Finding ◽  
Complex Root ◽  
Canal System ◽  
Root Canal System

Complex root canal system with atypical variations is a common finding among mandibular premolars. Endodontic treatment in these teeth may not be successful due to the failure to recognise and treat multiple canals. This paper presents endodontic treatment of a mandibular second premolar with three roots and three canals.

scholarly journals Perforation Repair Using Biodentine:A Nobel Approach

2017 ◽  
Vol 6 (2) ◽  
pp. 1558
Author(s):  
Mridusmita Mukherjee ◽  
Krutika Shekhawat
Keyword(s):  
Treatment Outcome ◽  
Case Report ◽  
Root Canal ◽  
Filling Material ◽  
Restorative Material ◽  
Canal System ◽  
Microbial Invasion ◽  
Retrograde Filling ◽  
Root Canal System ◽  
The Many

Root perforations are one of the many consequences of compromised endodontic procedure. It not only poses a significant problem in treatment outcome but also greatly affects the prognosis if not repaired in time. If it occurs, it allows microbial invasion and inflammation in the non-invated area of operation. So, choice of restorative material should be such that it closes the pathway of communication between the root canal system and its associated tissues. It should possess all the good qualities of an ideal orthograde or retrograde filling material. The following note describes a case report of a young boy with failed root canal treatment performed earlier with its steps of management.

scholarly journals Evaluation of root canal morphology of maxillary second premolars in a Romanian population

2015 ◽  
Vol 61 (1) ◽  
pp. 45-48
Author(s):  
Paula Perlea ◽  
◽  
Cristina Nistor ◽  
Alexandru Andrei Iliescu ◽  
Daniel Nistor ◽  
...  
Keyword(s):  
Root Canal ◽  
Complex Root ◽  
Canal System ◽  
Root Canals ◽  
Maxillary Premolars ◽  
Root Canal Morphology ◽  
Root Canal System ◽  
Different Populations ◽  
Romanian Population ◽  
Canal Morphology

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.

scholarly journals Pulp Stone—An Endodontic Challenge: Successful Retrieval of Exceptionally Long Pulp Stones measuring 14 and 9.5 mm from the Palatal Roots of Maxillary Molars

2012 ◽  
Vol 13 (5) ◽  
pp. 719-722 ◽  
Author(s):  
Anand Patil ◽  
Lalita G Nanjannawar ◽  
Girish S Nanjannawar ◽  
Hemanth Vagarali ◽  
Bharath Prathasarathy
Keyword(s):  
Case Report ◽  
Synergistic Effect ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Canal System ◽  
Maxillary Molars ◽  
Root Canal System ◽  
Successful Retrieval ◽  
Pulp Stones

ABSTRACT Pulp stones are nodular, calcified masses commonly appearing in the coronal pulp and occasionally extending in radicular pulp. Retrieval of pulp stones remains a challenge for the endodontist as complete cleaning and shaping of root canal system is the bases for successful endodontic therapy. The aim of this case report is to show the retrieval of long pulp stones measuring 14 and 9.5 mm by utilizing synergistic effect of ultrasonics and sodium hypochlorite from the palatal roots of maxillary molars. Such case has not been reported in the literature so far. How to cite this article Nanjannawar GS, Vagarali H, Nanjannawar LG, Prathasarathy B, Patil A, Bhandi S. Pulp Stone—An Endodontic Challenge: Successful Retrieval of Exceptionally Long Pulp Stones measuring 14 and 9.5 mm from the Palatal Roots of Maxillary Molars. J Contemp Dent Pract 2012;13(5):719-722.

scholarly journals ACTIVATING TO SUCCESS: A COMPREHENSIVE REVIEW OF IRRIGANT AGITATION DEVICES IN ENDODONTICS

2020 ◽  
pp. 36-38
Author(s):  
Snigdho Das
Keyword(s):  
Treatment Outcome ◽  
Root Canal ◽  
Complex Root ◽  
Canal System ◽  
Comprehensive Review ◽  
Successful Treatment Outcome ◽  
Technological Advances ◽  
Root Canal System ◽  
Irrigant Activation ◽  
Microbial Toxins

Removal of vital and necrotic remnants of pulp tissues, microorganisms, and microbial toxins from the root canal system is warranted for ensuing successful treatment outcome. Irrigation plays a major role in achieving the same. The last few years have seen a spurt in technological advances in various irrigant activation devices. This article meticulously reviews the various irrigant agitation systems available, which assists in complete disinfection of the complex root canal system.

scholarly journals Root canal morphology and variations in mandibular second molars: an in vivo cone-beam computed tomography analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Francisco Gomez ◽  
Gisbeli Brea ◽  
Jose Francisco Gomez-Sosa
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Anatomical Variation ◽  
Cone Beam ◽  
Canal System ◽  
Root Canals ◽  
Single Root ◽  
Significant Difference ◽  
Root Canal System

Abstract Background The purpose of this study was to determine the anatomical variations of the root canal system of mandibular second molars using cone-beam computed tomography (CBCT). Methods 190 mandibular second molars cone-beam computed tomography images were reviewed. The evaluation was performed by a radiologist with endodontic experience and two endodontists trained with CBCT technology. Tooth position, number of root and root canals, C-shaped root canal system configuration, presence of extra root (radix), and radicular grooves were assessed. Data was statistically analyzed using The Chi-square test (α = 0,05) to determine any significant difference between gender and the total number of root and root canals, and any significant difference between gender and root canal anatomical variation. Results Overall, 85.5% showed two separated roots, 12.1% a single root, 2.6% three roots or radix. 87.7% showed three root canals, 12.1% two root canals, 2.6% four root canals, and 1.6% a single root canal. 10% showed a single foramen, 75.3% two foramina, 13.6% three foramina and 1% showed four foramina.19.5% showed C-shaped anatomical variation, 51.4% in male patients, 48.6% in female patients. According to Fan classification: C1 13.6% in cervical third, C2 10% in the middle third, C3 17.3% in middle third, 15.5% in apical third, and C4 12.7% in the apical third. Root canals number in these samples were 5.4% a single canal, 21.6% two canals, 70.3% three canals, and 2.7% four canals. The root showed 46% with one foramen, 46% two foramina, and 8% three foramina. Radicular grooves 83.3% were found in the lingual area and 16.2% towards the buccal area. Conclusions The most prevalent anatomic presentation of the evaluated sample was a mandibular second molars with two roots, three root canals, and two apical foramina. Their variation was C-shaped root canals and Radix Paramolaris.

The Apical Root Canal System of Teeth with Posttreatment Apical Periodontitis: Correlating Microbiologic, Tomographic, and Histopathologic Findings

2020 ◽  
Vol 46 (9) ◽  
pp. 1195-1203 ◽  
Author(s):  
José F. Siqueira ◽  
Henrique S. Antunes ◽  
Alejandro R. Pérez ◽  
Flávio R.F. Alves ◽  
Ibrahimu Mdala ◽  
...  
Keyword(s):  
Root Canal ◽  
Apical Periodontitis ◽  
Canal System ◽  
Root Canal System ◽  
Histopathologic Findings ◽  
Posttreatment Apical Periodontitis

scholarly journals A Rare Root Canal Configuration of Maxillary Canine: A Case Report

2018 ◽  
Vol 5 (2) ◽  
pp. 53-56
Author(s):  
Deepa Kunwar ◽  
Bhawana Adhikari ◽  
Vanita Gautam ◽  
Chetna Arora ◽  
Snigdha Subham ◽  
...  
Keyword(s):  
Root Canal ◽  
Three Dimensional ◽  
Anatomical Variations ◽  
Canal System ◽  
Maxillary Canine ◽  
Root Canals ◽  
Single Root ◽  
System A ◽  
Intimate Knowledge ◽  
Root Canal System

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 

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