scholarly journals SIX CANALLED MAXILLARY FIRST MOLARS. A CASE REPORT

2020 ◽  
Vol 4 (11) ◽  
Author(s):  
Ruchika Gupta Dewan ◽  
Anchal Aggarwal ◽  
Mandira Gulati ◽  
Unnavi Chauhan
Keyword(s):  
Case Report ◽  
Endodontic Treatment ◽  
Internal Anatomy ◽  
Cavity Preparation ◽  
Root Canals ◽  
Gutta Percha ◽  
Rotary Instruments ◽  
Working Length ◽  
Maxillary Molar ◽  
Canal Systems

Aim:  This  Case  Report  describes  two  rare  cases  of  clinical  management of  maxillary  first  molars  with  six  root  canals  with  special  reference  to  radiographic  interpretation  and  diagnosis. Background:  The  study  reports  2 clinical  cases  of  endodontic  treatment  of maxillary  first  molars    with    six    root  canals.    Case Description: The  access  cavity  was  prepared  using  a  slow  speed  round  bur.  The  teeth  were    diagnosed    with  irreversible    pulpitis  and    then  anesthetized  for  an  endodontic  access  cavity    preparation.  Clinical  evaluation  of  the  internal  anatomy  revealed  3  principle  root  canal  systems:  mesiobuccal  (MB),  distobuccal  (DB),  and  palatal  in  each  tooth. The  working  length  was  determined  and  the radiographs  were  taken  for  all  the  roots  i.e  mesiobuccal,  distobuccal  and  palatal  separately  after  placing  instruments  in  each.  The  cleaning  and  shaping  was  performed  using  ProTaper  Universal  rotary  instruments.  Irrigation  between  each  instrument  was  done.  The  canals  were  dried  and  obturation  was  performed  using  cold lateral  compaction  of  gutta-percha  and  a  resin-based  sealer.  The  teeth  were  then  restored  with  a  posterior  composite  restoration.  The  patients  were  advised  a  full-coverage  crown.   Conclusion:  A  good  knowledge  of  tooth  morphology,  careful  interpretation  of  angled  radiographs,  proper  access  cavity  preparation  and  a  detailed  exploration  of  the  interior  of  the  tooth  is  needed  to  ensure  a  proper  endodontic  treatment. Clinical Significance:  Prevalence of teeth with such  complex  internal  anatomy is a rare anomaly. However, a sound knowledge of the internal anatomy can aid in its adequate management.   Keywords:  maxillary  molar,  six  canals,  altered anatomy

scholarly journals Endodontic treatment of maxillary second molar with two roots: A case report

2020 ◽  
Vol 11 (1) ◽  
pp. 86-89
Author(s):  
Dajana Nogo-Živanović ◽  
Dragan Ivanović ◽  
Tanja Ivanović ◽  
Ivana Simić
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Cavity Preparation ◽  
Second Molar ◽  
Root Canals ◽  
Gutta Percha ◽  
Maxillary Molar ◽  
Preoperative Diagnostic ◽  
Root Canal System

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.

scholarly journals Unusual Root Canal Morphology of the Maxillary Second Molar: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Neslihan Şımşek ◽  
Ali Keleş ◽  
Elçin Tekın Bulut
Keyword(s):  
Case Report ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Second Molar ◽  
Root Canals ◽  
Gutta Percha ◽  
Rotary Instruments ◽  
Mandibular Molar ◽  
Ah Plus ◽  
Root Canal Morphology

Introduction. This clinical case report presents the successful endodontic treatment of a maxillary second molar that has a mandibular molar-like anatomy with no palatal root and with each of its roots containing two separate root canals. Cone-beam computed tomography (CBCT) was used to confirm this unusual anatomy.Methods. A 34-year-old male patient was referred to the Department of Endodontics at Inonu University’s Faculty of Dentistry because of severe pain in his right maxillary second molar. Clinical and radiographic examinations identified unusual roots and root canals anatomy, and CBCT was planned in order to understand the nature of these variations. Cleaning and shaping procedures were performed using the crown down technique with Sybron Endo (Glendora, CA, USA) rotary instruments, and endodontic treatment was completed with gutta-percha cones and AH Plus resin sealers using the cold lateral compaction technique.Conclusions. The maxillary second molar exhibits aberrations and variations in terms of the numbers and configurations of its roots and root canals, and CBCT can be a useful imaging technique in endodontics.

scholarly journals Clinical features and endodontic treatment of two-rooted mandibular canines: Report of four cases

2014 ◽  
Vol 142 (9-10) ◽  
pp. 592-596 ◽  
Author(s):  
Igor Stojanac ◽  
Milica Premovic ◽  
Milan Drobac ◽  
Bojana Ramic ◽  
Ljubomir Petrovic
Keyword(s):  
Root Canal ◽  
Case Reports ◽  
Anatomical Variation ◽  
Anatomical Variations ◽  
Endodontic Treatment ◽  
Careful Examination ◽  
Root Canals ◽  
Working Length ◽  
Canal Systems ◽  
Root Canal Morphology

Introduction. Predictable endodontic treatment depends on the dentist?s knowledge about root canal morphology and its possible anatomic variations. The majority of mandibular canines have one root and root canal, but 15% may have two canals and a smaller number may have two distinct roots. The following clinical reports describe endodontic treatment of mandibular canines with two roots and two root canals. Outline of Cases. Four clinical case reports are presented to exemplify anatomical variation in the human mandibular canine. Detailed analysis of the preoperative radiographs and careful examination of the pulp chamber floor detected the presence of two root canal orifices in all canines. Working length was determined with an electronic apex locator and biomechanical preparation was carried out by using engine driven BioRaCe Ni-Ti rotary instruments in a crown-down manner, followed by copious irrigation with 1% sodium hypochlorite. Definitive obturation was performed using cold lateral condensation with gutta-percha cones and Top Seal paste. The treatment outcome was evaluated using postoperative radiographs. Conclusion. Endodontists should be aware of anatomical variations of the treated teeth, and should never presume that canal systems are simple.

scholarly journals Endodontic Treatment of the first Maxillary Molar with 7 Root Canals: Case Report

2019 ◽  
Vol 6 (12) ◽  
pp. 534-539
Author(s):  
Eduardo Fernandes Marques ◽  
Deise Mikaely de Sousa Silva ◽  
Diana Rodrigues Frota ◽  
Larissa Bitencourt
Keyword(s):  
Case Report ◽  
Endodontic Treatment ◽  
Root Canals ◽  
Maxillary Molar

scholarly journals The ability of Reciproc instruments to reach full working length without glide path preparation: a clinical retrospective study

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3583 ◽  
Author(s):  
Andreas Bartols ◽  
Bernt-Peter Robra ◽  
Winfried Walther
Keyword(s):  
Retrospective Study ◽  
Root Canal ◽  
Primary Root ◽  
Primary Treatment ◽  
Endodontic Treatment ◽  
Binary Logistic Regression Model ◽  
Root Canals ◽  
Maxillary Molars ◽  
Glide Path ◽  
Working Length

Background Reciproc instruments are the only contemporary root canal instruments where glide path preparation is no longer strictly demanded by the manufacturer. As the complete preparation of root canals is associated with success in endodontic treatment we wanted to assess the ability and find predictors for Reciproc instruments to reach full working length (RFWL) in root canals of maxillary molars in primary root canal treatment (1°RCTx) and retreatment (2°RCTx) cases. Methods This retrospective study evaluated 255 endodontic treatment cases of maxillary molars. 180 were 1°RCTx and 75 2°RCTx. All root canals were prepared with Reciproc instruments. The groups were compared and in a binary logistic regression model predictors for RFWL were evaluated. Results A total of 926 root canals were treated with Reciproc without glide path preparation. This was possible in 885 canals (95.6%). In 1°RCTx cases 625 of 649 (96.3%) canals were RFWL and in 2°RCTx cases 260 of 277 (93.9%). In second and third mesiobuccal canals (MB2/3) 90 out of 101 (89.1%) were RFWL with Reciproc in 1°RCTx and in the 2°RCTx treatment group 49 out of 51 cases (96.1%). In mesio-buccal (MB1) canals “2°RCTx” was identified as negative predictor for RFWL (OR 0.24 (CI [0.08–0.77])). In MB2/3 canals full working length was reached less often (OR 0.04 (CI [0.01–0.31])) if the tooth was constricted and more often if MB2/3 and MB1 canals were convergent (OR 4.60 (CI [1.07–19.61])). Discussion Using Reciproc instruments, the vast majority of root canals in primary treatment and retreatment cases can be prepared without glide path preparation.

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

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.

scholarly journals Endodontic management of multiple roots and root canals in mandibular canine: A case report series

2021 ◽  
Vol 6 (3) ◽  
pp. 166-170
Author(s):  
Pradeep Nivas Varatharajan ◽  
Manoj kumar thirunavukkarasu ◽  
Athul Babu Kurian ◽  
K. Madhuram
Keyword(s):  
Case Series ◽  
Endodontic Treatment ◽  
Rare Entity ◽  
Internal Anatomy ◽  
Root Canals ◽  
Single Root ◽  
Precise Knowledge ◽  
Mandibular Canine

Successful endodontic treatment depends upon the clinician’s precise knowledge and ability to manage complex internal anatomy in order to avoid failure during endodontic treatment. Mandibular canines normally have single root with centrally placed single canal and internal anatomy as simple as could be expected, but there are such canines with a single root with two canals, two roots or fused roots. The occurrence of two canal joining to one for a men may be a rare entity with 4-15% prevalence. Canine is the cornerstone of mouth due to its position and very important as abutment for any type of restoration, so long term success of the restorative depend directly on the quality of endodontic treatment. This article presents a case series of successful endodontic management of mandibular canine with two canals which merge into one canal with one foramina and mandibular canine with two roots and two canals.

Retreatment and Restoration Using Individual Formable Fibre Post and Crown - Case Report

2020 ◽  
Vol 48 ◽  
pp. 15-21
Author(s):  
Rinda Wanodyatama ◽  
Tri Endra Untara ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Root Canals ◽  
Gutta Percha ◽  
Surgical Methods ◽  
Dental Hospital ◽  
Conservative Dentistry ◽  
One Year ◽  
Endodontic Retreatment

Endodontic retreatment is an attempt to reachieve a healthy periapical after it was previously been carried out an inadequate or reinfected endodontic retreatment that has been filled due to the leakage of apical and coronal. One stage in this retreatment is an uptake of obturasi material using hedstrom file (H-file). The solvent material used in this endodontic retreatment is xylol. Case report. A 22-year-old male patient came to the Clinic of Conservative Dentistry Dental Hospital Prof. Soedomo, Faculty of Dentistry, Gadjah Mada University (UGM) wanted to treat his mandibular second right premolar (45) that has been painful since two months ago. The tooth had root canal treatment one year ago. The pain suddenly appears and disappears as soon as the patient consumes painkillers. Dental preoperative (periapical) radiograph tooth 45 showed a picture of gutta percha root canals and radiolucent images at the tip of the root of the tooth. Diagnosis of tooth 45 is non-vital tooth after root canal treatment accompanied by apical, symptomatic periodontitis. The operator performed a root canal treatment by dismantling the restoration on the occlusal part of tooth 45 and taking gutta percha using a hedstrom file followed by treatment of the root canal, crown lengthening, installation of individual formable fiber post and porcelain fused to metal crown. Conclusion. Retreatment of root canal treatment with non-surgical methods still can be conducted effectively and obtain good results with the final treatment results in smaller lesions in the apical portion of tooth 45.

scholarly journals Efficacy Of Two NI-TI Retreatment Systems and Hand Files in Removing Gutta-Percha and Sealer From Root Canals Filled With Three Different Types of Sealers

2015 ◽  
Vol 03 (02) ◽  
pp. 071-079
Author(s):  
Rajender Singh ◽  
Ashu Gupta ◽  
Vishal Sharma
Keyword(s):  
Operating Time ◽  
Filling Material ◽  
Test Results ◽  
Root Canals ◽  
Gutta Percha ◽  
Honestly Significant Difference ◽  
Working Length ◽  
Significant Difference ◽  
Hand Instrumentation ◽  
Difference Test

Abstract Objectives: This study was undertaken to evaluate the efficiency of two rotary nickel titanium instruments and hand instrumentation in removing gutta-percha and sealer from root canals. Study design: – 63 extracted human single rooted premolars were instrumented with K-files and filled using lateral compaction of gutta-percha (GP) and three different sealers. The teeth were randomly divided into three experimental groups of 21 specimens each. Removal of gutta-percha was performed with R-Endo retreatment files, Mtwo retreatment files and Hedstrom files. Time to reach working length and to eliminate filling material was also recorded. The specimens were sectioned for evaluation of the area of the remaining gutta-percha/sealer under stereomicroscope at 6X magnification. Photographs were taken for further analysis using computer image analysis program. The results were statistically analyzed using Analysis of variance (ANOVA) and Tukey’s honestly significant difference test. Results: The R-Endo retreatment system resulted in a smaller percentage of canal area covered by residual GP/sealer than in other groups, a significant difference was found between R-Endo and Mtwo group and between Hedstrom groups (P < 0.001). The Mean operating time was minimum with R-Endo group while it was found to be maximum with hand files. Conclusion: It was concluded that all test techniques left gutta-percha/sealer remnants within the root canal. The R-Endo retreatment files and Mtwo retreatment files system proved to be an efficient method for removing gutta-percha and sealer from single rooted premolars.

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