Mandibular First Molar with Middle Distal Canal: A Case Report

2013 ◽  
Vol 7 (1) ◽  
pp. 69-71
Author(s):  
R Bains ◽  
K Verma ◽  
K Loomba ◽  
VK Bains ◽  
A Loomba

ABSTRACT Limited data reports the occurrence of three or more canals in distal roots of mandibular first permanent molars. This paper presents and discusses a clinical report of root canal therapy in a permanent mandibular first molar and empahasises on the utilisation of magnification for the assessment, and acquaintance of the possible canal configuration, alongwith the management of middle distal canal of permanent mandibular first molar.

2015 ◽  
Vol 11 (4) ◽  
pp. 338-341 ◽  
Author(s):  
N Acharya ◽  
A Singh ◽  
PS Samant ◽  
V Gautam

Endodontic therapy of mandibular molars is a challenging task due to its varied root canal morphology. A mandibular first molar with additional buccal root (Radix paramolaris) and additional distolingual root (Radix Entomolaris) is an example of its varied anatomy. A successful management of atypical root canal configurations is an important aspect in determining the success rate of root canal therapy. The detail knowledge of the root morphology and canal anatomy allows the clinician for accurate location of the extra roots and canals and accordingly the refinement of the access cavity for the stress free entry of complex anatomy. Hence, for a successful root canal therapy, clinician must be aware of the external and internal anatomic variations .The aim of this clinical case report is to present and describe the unusual presence of two separate mesial roots and six root canals in mandibular first molar, detected during routine endodontic therapy.Kathmandu Univ Med J 2013; 11(4): 338-341


2021 ◽  
Vol 59 (240) ◽  
Author(s):  
Babita Pradhan ◽  
Yuan Gao ◽  
Yuan Gao ◽  
Tingwei Guo ◽  
Yangpei Cao ◽  
...  

Intracanal separation of nickel titanium files hinders complete shaping, cleaning, and filling of the root canal system and ultimately influences the endodontic treatment outcome. In this case report, we presented a successful broken instrument retrieval from the middle third of the mesiobuccal root canal of tooth #30 with the assistance of cone-beam computed tomograpgy based preoperative computer-assisted simulation, micro-trepan bur and micro-tube from Micro-Retrieve & Repair system and dental operative microscope. The involved tooth was then successfully cleaned, shaped and obturated followed by coronal restoration. At the three-year follow-up, tooth #30 was asymptomatic and functioned well without radiographic changes. The present case provides an example to show the robustness of computer-assisted technology in dental procedures and to show how the combination of advanced techniques can facilitate root canal therapy.


Dental Update ◽  
2021 ◽  
Vol 48 (6) ◽  
pp. 474-476
Author(s):  
Francesca Capaldi ◽  
Eleni Besi ◽  
Elizabeth M Roebuck

The British Society of Periodontology, in collaboration with the British Society of Paediatric Dentistry, published guidelines in 2012 for the periodontal screening of children and adolescents. The guidelines recommended a simplified Basic Periodontal Examination (BPE) of six teeth for children aged 7–17 years. This is further modified for ages 7–11, using codes 0–2 from the 0–4 BPE adult chart. An unusual case of an 11-year-old boy who attended his general dental practitioner for a check-up is reported. Periodontal screening led to the detection of 13-mm pockets associated with the two mandibular first permanent molars that required surgical intervention and multidisciplinary care. CPD/Clinical Relevance: This case report highlights the importance of paediatric periodontal screening in both primary and secondary care.


2013 ◽  
Vol 14 (2) ◽  
pp. 345-347 ◽  
Author(s):  
Hamid Jafarzadeh ◽  
Amir Maghsoudlou ◽  
Maryam Forghani

ABSTRACT Aim This clinical report presents a rare case of maxillary central incisor with two separate roots. Background Unusual morphology of the roots and root canals may exist in any tooth. Recognition of the dental anatomy and its variations is necessary for successful endodontic therapy. It is well known that maxillary incisors are usually single-rooted teeth. Case report The root canals were instrumented with conventional hand files and Gates Glidden and obturated by using the lateral technique. Recall radiograph after 1 year shows the healing process of the preoperative apical periodontitis. Conclusion and clinical significance Clinicians should be aware of unexpected root canal morphology when performing root canal therapy. The present case demonstrated the importance of accurate preoperative radiograph and adequate access preparation. How to cite this article Maghsoudlou A, Jafarzadeh H, Forghani M. Endodontic Treatment of a Maxillary Central Incisor with Two Roots. J Contemp Dent Pract 2013;14(2):345-347.


2018 ◽  
Vol 10 (1) ◽  
pp. 37-39
Author(s):  
Shahnaz Sultana Beauty ◽  
Shahana Dastagir Sunny ◽  
Md Ali Asgor Moral ◽  
Md Shamsul Alam

In dentistry,root resorption is the breakdown or destruction and subsequent loss of the root structure of a tooth caused by living body cells attacking part of the tooth. When the damage extends to the whole tooth is called tooth resorption. Severe root resorption is very difficult to treat and often requires the extraction of teeth. Root canal therapy has been shown to be a verysuccessful means of treating inflammatory resorption. It has been recommended to include a calcium hydroxide paste in the root canal therapy to enhance the success of the treatment out come. Calcitonin has also been suggested as an interim root canal medicament to assist in the inhibition of osteoclastic bone and dentin resorption. Calcitonin penetrates the dentinal tubules in the out word direction, thus exerting a direct effect DOI: http://dx.doi.org/10.3329/cdcj.v10i1.13833 City Dent. Coll. J Volume-10, Number-1, January-2013


Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 923
Author(s):  
Luísa Bandeira Lopes ◽  
Vanessa Machado ◽  
João Botelho

Hypomineralized primary second molars (HPSM) are characterized by enamel opacities accompanied by hypersensitivity and atypical caries lesion, on one to four primary second molars. The correct treatment and follow-ups of those teeth have an important impact on a correct eruption of the first permanent molars and future occlusion. Hence, this report aims to describes a case of a severe HPSM in all second molars of a four-year-old girl and subsequent four-year follow-ups. The rehabilitation involved the placement of four stainless steel crowns on all four second primary molars under general anesthesia. Concerning the available literature and the case severity of HPSM, the treatment approach proposed for the case provided good functional outcome.


2014 ◽  
Vol 59 (2) ◽  
pp. 629-632
Author(s):  
K. Mroczek ◽  
K. Szlązak ◽  
E. Jodkowska ◽  
J. Jaroszewicz ◽  
W. Swięszkowski ◽  
...  

Abstract A progressive bacteria invasion on tooth tissues leads to pulp inflammation, microabscesses of the pulp, destruction and in consequence inflammation of periapical tissues. Therefore the aim of endodontic treatment is three dimensional debridement of a root canal from the vent in pulp chamber to the physiological narrowing. Therefore the aim of the study is analysis of root canal configuration, number of canals, presence of lateral canals and canal delta with the group of first permanent molars. At the same time the accuracy of the radiological examination (x-ray images) is estimated due to comprehension of X-ray images performed before teeth preparation with root canal system and after observation of transversal cuts by means of light microscopy and microtomography. This establishment is presented through the differences in conventional radiological image and clinical assessment.


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