scholarly journals Endodontic Management of C-shaped Root Canal System of Mandibular First Molar by using a modified Technique of Self-adjusting File System

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.

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.


2005 ◽  
Vol 58 (3-4) ◽  
pp. 203-207
Author(s):  
Tatjana Brkanic ◽  
Slavoljub Zivkovic ◽  
Milan Drobac

Introduction The main purpose of endodontic treatment is to clean the root canal system, eliminate the infected and toxic contents, and shape it in order to get a tridimensional obturation. The aim of this paper is to inform dental practitioners about crown-down techniques for root canal preparation using nickel-titanium rotary instruments. Root canal preparation Today most endodontists believe that root canal preparation is more officious, cleaning and shaping are better, if pre-enlargement of coronal two thirds is performed first, and shaping of the apical part later. Machine driven rotary instruments provide much quicker and better root canal preparation. Conclusion Contemporary endodontic rotary files vary in regard to their taper, cutting blades, guiding tip and material they are made of. The usage of rotary nickel-titanium files adds a new quality to root canal preparation.


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.


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 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.


2014 ◽  
Vol 4 (3) ◽  
pp. 152-156 ◽  
Author(s):  
Swati Bhosale ◽  
Akilan Balasubramanian ◽  
Rameshkumar Maroli ◽  
S Jayasree

ABSTRACT Aims and objectives To present clinical case report of three mandibular first molar with middle mesial canal of independent and confluent type. Case Report Three patients with chief complaint in mandibular first molars were referred for endodontic treatment. All the three mandibular first molar showed presence of middle mesial canal and, in one case, extra root was observed. With aid of proper diagnostic and radiographic techniques, the endodontic treatment was performed. Conclusion Good knowledge of the potential aberrant canal morphology in mandibular molar will help clinician to successfully recognize and treat these difficult cases. Morphological variations in root canal system anatomy should always be considered at the beginning of treatment. Once endodontic treatment has been initiated, proper access cavity preparation is a basic prerequisite for the investigation and successful detection of all root canal orifices. Every effort should be made to find and treat all canals for successful clinical results. Better illumination and magnification under microscope help in locating hidden canals. How to cite this article Bhosale S, Balasubramanian A, Maroli R, Jayasree S. Middle Mesial Canal: A Common Finding— A Report of Three Cases. J Contemp Dent 2014;4(3):152-156.


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.


2020 ◽  
Vol 8 (2) ◽  
pp. 90-100
Author(s):  
Ratu Amelia ◽  
Deli M

The main goal of endodontic treatment is to remove the entire microbial flora from the root canal system and promote periapical healing. Microorganisms that settle in the root system play an important role in the development and persistence of periapical lesions. Necrotic canals provide a very favorable environment for the growth of microorganisms in the root canal system. Thus, elimination of these bacteria is essential for apical and periapical healing after endodontic treatment. This case report discusses the endodontic treatment using calcium hydroxide in a necrotic pulp with chronic periapical abscess.


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