scholarly journals Endodontic Management of a Three-rooted Mandibular First Premolar associated with Taurodontism

2016 ◽  
Vol 1 (2) ◽  
pp. 90-92
Author(s):  
Swati Ishwar Wadekar ◽  
Dipali Yogesh Shah ◽  
Jimish Rajiv Shah ◽  
Kinjal Mahesh Gathani
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Anatomic Variation ◽  
Cone Beam ◽  
Canal System ◽  
Root Canals ◽  
Complex Anatomy ◽  
Mandibular First Premolar ◽  
Root Canal System ◽  
Endodontic Diagnosis

ABSTRACT Introduction Taurodontism is a morpho-anatomic variation in tooth anatomy that rarely affects mandibular premolars. Literature is replete with mandibular first premolars presenting atypical additional root canals, but concurrent presence of three roots and taurodontism is exceptional. Materials and methods This case report describes the successful endodontic diagnosis and management of a rare case of taurodontism in a mandibular first premolar with chronic apical periodontitis. Cone beam computed tomography (CBCT) facilitated the diagnosis of three roots and root canals associated with concurrent taurodontism. The taurodont premolar required exceptional and diligent care in each segment of endodontic treatment for the complex root canal system. Results Taurodontism-affected premolars present with challenges in endodontic therapy as they have apically displaced pulp chambers with limited width. Cone beam computed tomography and dental operating microscope can facilitate evaluation for teeth with such complex anatomy and their successful endodontic management. How to cite this article Wadekar SI, Shah DY, Shah JR, Gathani KM. Endodontic Management of a Three-rooted Mandibular First Premolar associated with Taurodontism. J Oper Dent Endod 2016;1(2):90-92.

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.

scholarly journals Analysis of root canal system of maxillary first and second molars and their correlations by cone beam computed tomography

2020 ◽  
Vol 119 (5) ◽  
pp. 968-973 ◽  
Author(s):  
Li-Ting Tzeng ◽  
Mei-Chi Chang ◽  
Shu-Hui Chang ◽  
Chih-Chia Huang ◽  
Yi-Jane Chen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Canal System ◽  
Root Canal System

scholarly journals Management of Maxillary First Molar with Six Canals using Cone Beam Computed Tomography

2017 ◽  
Vol 2 (1) ◽  
pp. 36-39
Author(s):  
Nidha Madan ◽  
Harshita Gwalani
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Clinical Case ◽  
Anatomic Variation ◽  
Cone Beam ◽  
Complex Root ◽  
Successful Management ◽  
Diagnostic Aid ◽  
Root Canals ◽  
Computed Tomography Scans

ABSTRACT The probability of morphologic variations in a tooth should never be misconstrued and the cognition of these variations is the cue to successful endodontic treatment. The form, configuration, and number of root canals in maxillary first molar have been studied for more than half a century. An anatomic variation like three canals in the distal root of maxillary first molar is not frequently reported. Apart from a properly designed access cavity, well-angulated radiographs, and routine use of loupes, the practitioner should consider using cone beam computed tomography as an auxiliary method for detecting complex root canal anatomy. This clinical case report presents the successful management of maxillary first molar with six root canals with the use of computed tomography scans as a diagnostic aid. Key Messages The incidence of second distobuccal canal ranges from 1.64 to 9.5%. However, the incidence of third distal canal (distopalatal) is rare (<1%). This report highlights the importance of computed tomography in the successful diagnosis and management of maxillary first molar. How to cite this article Madan N, Gwalani H, Raisingani D, Prasad A, Srivastava H. Management of Maxillary First Molar with Six Canals using Cone Beam Computed Tomography. J Oper Dent Endod 2017;2(1):36-39.

scholarly journals Three Independent Mesial Canals in a Mandibular Molar: Four-Year Followup of a Case Using Cone Beam Computed Tomography

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Adrianne Freire de Paula ◽  
Manoel Brito-Júnior ◽  
Alex Carvalho Quintino ◽  
Carla Cristina Camilo ◽  
Antônio Miranda Cruz-Filho ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Three Dimensional ◽  
Cone Beam ◽  
Root Canals ◽  
Mandibular Molar ◽  
Root Canal Morphology ◽  
Root Canal System ◽  
Mandibular First Molar

Endodontic treatment of mandibular molars is challenging because of variable root canal morphology. The nonsurgical endodontic management of a mandibular first molar presenting an independent middle mesial canal is reported. After coronal access, additional clinical inspection of the mesial canals’ orifices and their interconnecting groove using an endodontic explorer and 4.5× loupes enabled the identification of the middle mesial canal orifice. All root canals were chemomechanically prepared and filled. The tooth was asymptomatic and functional after 4 years of followup. Cone beam computed tomography (CBCT) images revealed normal periapical status and three-dimensional (3D) anatomical aspects of the root canal system.

scholarly journals Root Canal Morphology of the Permanent Mandibular Incisors by Cone Beam Computed Tomography: A Systematic Review

2020 ◽  
Vol 10 (14) ◽  
pp. 4914
Author(s):  
Silvia Herrero-Hernández ◽  
Nansi López-Valverde ◽  
Manuel Bravo ◽  
Óliver Valencia de Pablo ◽  
Manuel Peix-Sánchez ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Canal System ◽  
Root Canal Morphology ◽  
Root Canal System ◽  
Canal Morphology ◽  
Mandibular Incisors

Knowledge of dental anatomy through the assessment of the anatomic variations of each tooth’s root canal system is essential to undertake endodontic therapy. The aim of this systematic review was to analyze the different studies on the internal morphology of permanent mandibular incisors where Cone-Beam Computed Tomography (CBCT) X-ray imaging is used. Pubmed, CENTRAL, Wiley Library and Web of Science electronic databases were searched for scientific studies included until March 2020. The terms used in the search were: “permanent mandibular incisors”, “root canal morphology” and “cone-beam computed tomography”. The search was limited to studies whose aim was the analysis of the morphology of the root canal system evaluating the parameters of methodology, population, sample, number and configuration. A total of 19 studies met the inclusion criteria. There was a noticeable lack of unanimity in the setting adjustments of each of the CBCT devices used. The presence of two root canals varied from 0.4% to 45%. The most frequent configurations were Vertucci’s Types I, III, II, V, IV, VII and VI. Type VIII configuration was non-existent. CBCT revealed the existence of anatomical symmetry patterns, and there was no unanimity of criteria regarding the presence of a second root canal. Results concerning the presence of a second root canal in the mandibular incisors differ widely, with a possible influence of the geographic area where the study was conducted. The prevalence of a second canal is higher in mandibular lateral incisors than in mandibular central incisors. There was no direct relationship between voxel size (0.125–0.3 mm) and increased prevalence of a second canal.

scholarly journals A Cone-Beam Computed Tomography Scanning of the Root Canal System of Permanent Teeth among the Moscow Population

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Svetlana Razumova ◽  
Anzhela Brago ◽  
Lamara Khaskhanova ◽  
Ammar Howijieh ◽  
Haydar Barakat ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Permanent Teeth ◽  
Canal System ◽  
Second Molar ◽  
Computed Tomography Scanning ◽  
Root Canal System ◽  
Moscow Population

Background. Successful endodontic treatment requires a significant knowledge of root canal anatomy. The aim of this study was to evaluate the root and root canal number of permanent teeth among the Moscow population using cone-beam computed tomography (CBCT) scanning. Materials and methods. 300 CBCT images of subjects were analyzed to study the anatomy of roots and root canal system of each tooth. The collected data were analyzed using IBM SPSS statistics software 22.0 version. Results. The maxillary incisors and canines had one root with one canal in 100%. Maxillary premolars had one root with one or two canals and two roots with two canals, while mandibular premolars were single-rooted with one or two canals. Maxillary first and second molar had three separated roots, and the prevalence of four canals was more often in first molars. Mandibular molars had two roots with different number of canals. Conclusion. The root canal system varies greatly among populations and even in different individuals within the same population; thus, using CBCT scanning is an effective technique in investigating the root canal system.

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