Cone Beam Computed Tomography Evaluation and Endodontic Treatment of Mandibular First Molar with Radix Entomolaris: Case Report

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.

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Endodontic Treatment of Bilateral Maxillary First Premolars with Three Roots Using CBCT: A Case Report

Case Reports in Dentistry ◽

10.1155/2014/505676 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Sujatha Gopal ◽

Gijo John ◽

K. Pavan Kumar ◽

Swarna Latha ◽

Suma Latha ◽

...

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Endodontic Treatment ◽

Cone Beam ◽

Rare Occurrence ◽

Internal Anatomy ◽

Tooth Structure ◽

Determining Factors

One of the determining factors for the success of endodontic therapy is understanding the morphological anatomy of the tooth structure and its variants in relation to its template anatomy. The internal anatomy of maxillary first premolars is particularly complex due to their variation in number of roots and canal configuration. However, the bilateral presence of three roots in a maxillary first premolar is of rare occurrence. This case report describes the unusual anatomy bilaterally detected in maxillary first premolars using Cone-Beam Computed Tomography.

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Management of Independent Middle Mesial Canal in Mandibular First Molar Using Cone Beam Computed Tomography Imaging as an Adjunct : A Case Report

Journal of Baghdad College of Dentistry ◽

10.12816/0028209 ◽

2016 ◽

Vol 28 (2) ◽

pp. 26-29

Author(s):

Nitika Bajaj ◽

Roma Goyal ◽

Prashant Monga

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

Computed Tomography Imaging ◽

Tomography Imaging ◽

Mandibular First Molar

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Endodontic Management of a Rare Anatomic Variation of Radix Entomolaris in Mandibular First and Second Molar using Cone-beam Computed Tomography as a Diagnostic Aid

International Journal of Prosthodontics and Restorative Dentistry ◽

10.5005/jp-journals-10019-1172 ◽

2017 ◽

Vol 7 (1) ◽

pp. 30-33

Author(s):

Mahesh P Singh ◽

Rizwan Qureshi ◽

Santosh K Singh ◽

Kriti Sharma

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Anatomic Variation ◽

Endodontic Treatment ◽

Cone Beam ◽

Noninvasive Technique ◽

Diagnostic Aid ◽

Second Molar ◽

Anatomic Variant

ABSTRACT Radix entomolaris (RE) is the presence of an extra root in the lingual aspect of the mandibular molars. This is a rare anatomic variant, prevalence of which ranges between 5.96 and 6.67% in the Indian population. For a successful endodontic management, detection of these extra roots is important. In conventional radiography, these extra roots tend to be overlapped; thus, cone- beam computed tomography (CBCT) provides a noninvasive technique to study the internal and external anatomy and aids in proper detection. The endodontic treatment of RE requires some modifications in the endodontic treatment as compared with the common two-rooted anatomic variant. This article presents a clinical case report of successful detection and endodontic man- agement of mandibular first and second molar with extralingual root using CBCT as a diagnostic tool. This case report involves the endodontic treatment and presence of extra roots in both the mandibular first molar and second molar simultaneously in a single patient of Indian origin, which is a rare finding and has not been reported in endodontic literature till date. How to cite this article Qureshi R, Agarwal M, Singh MP, Singh SK, Sharma K. Endodontic Management of a Rare Ana- tomic Variation of Radix Entomolaris in Mandibular First and Second Molar using Cone-beam Computed Tomography as a Diagnostic Aid. Int J Prosthodont Restor Dent 2017;7(1):30-33.

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Mandibular First Molar with Vertucci Type I Canal Configuration diagnosed with the Help of Cone Beam Computed Tomography: A Rare Case Report

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1618 ◽

2014 ◽

Vol 15 (6) ◽

pp. 784-787

Author(s):

Manoj Agarwal ◽

HP Trivedi ◽

Ankit Gaur ◽

Manju Gupta ◽

Anuradha Sharma ◽

...

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Rare Case ◽

Three Dimensional ◽

Anatomical Variations ◽

Cone Beam ◽

Type I ◽

Rare Case Report ◽

Mandibular First Molar

ABSTRACT The knowledge of root canal morphology and the existing anatomical variations is essential for successful endodontic therapy. This report presents an extraordinary case of unusual tooth morphology involving the mandibular first molar with a single root and a single canal in a patient. Endodontic treatment of the affected tooth 36 was performed. Cone beam computed tomography (CBCT) images confirmed our diagnostic and therapeutic measures after endodontic management of the teeth. This morphologic variation has been reported once in the literature. The availability of three-dimensional images further provided the opportunity for the precise description of the anatomy of mandibular first molar with single roots and single canals. How to cite this article Gaur A, Trivedi HP, Gupta M, Sharma A, Likhyani L, Agarwal M. Mandibular First Molar with Vertucci Type I Canal Configuration diagnosed with the Help of Cone Beam Computed Tomography: A Rare Case Report. J Contemp Dent Pract 2014;15(6):784-787.

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Endodontic Treatment of Maxillary First Molar with Six Canals Using Dental Operating Microscope and Cone-beam Computed Tomography: A Case Report

Conservative Dentistry and Endodontic Journal ◽

10.5005/jp-journals-10048-0055 ◽

2020 ◽

Vol 5 (1) ◽

pp. 15-18

Author(s):

K Radhakrishnan Nair ◽

Praveena Geetha ◽

Meenu M Kumar

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Endodontic Treatment ◽

Cone Beam ◽

Operating Microscope

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Endodontic management of maxillary third molar with MB2 (Vertucci type IV) canal configuration diagnosed with Cone Beam Computed Tomography – a case report

Medicine and Pharmacy Reports ◽

10.15386/cjmed-778 ◽

2017 ◽

Vol 90 (4) ◽

pp. 459-463

Author(s):

Pradeep Jain ◽

Pallav Patni ◽

Pant Yogesh ◽

Vyas Anup

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Third Molar ◽

Endodontic Treatment ◽

Cone Beam ◽

Dental Arch ◽

Type Iv ◽

Maxillary Third Molar

The endodontic treatment of maxillary third molar often poses a challenge even to an experienced endodontist because of their most posterior location in the dental arch, aberrant occlusal anatomy, abnormal root canal configuration and eruption patterns. Owing to these anatomical limitations, their extraction remains the treatment of choice for many clinicians. As we know, retaining every functional component of the dental arch is of prime importance in contemporary dental practice. This clinical case report aims to discuss the endodontic treatment of maxillary third molar with MB2 root canal separated throughout the length and exit at two separate apical foramina (Vertucci type IV) diagnosed with Cone Beam Computed Tomography (CBCT).

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Cone Beam Computed Tomography Evaluation of the Periapical Status of Nonvital Tooth with Open Apex Obturated with Mineral Trioxide Aggregate: A Case Report

Case Reports in Dentistry ◽

10.1155/2013/714585 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6

Author(s):

Vijay Shekhar ◽

K. Shashikala

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Mineral Trioxide Aggregate ◽

Endodontic Treatment ◽

Cone Beam ◽

Periapical Lesion ◽

Dental Practitioners ◽

Periapical Healing ◽

Radiographic Followup

Management of a tooth with open apex is a challenge to the dental practitioners. Evaluation of the periapical healing is required in such cases by radiographic techniques. The objective of this paper was to assess the healing of a periapical lesion in a non-vital tooth with open apex treated with mineral trioxide aggregate (MTA) obturation using cone beam computed tomography (CBCT). The endodontic treatment of a fractured non-vital discolored maxillary left lateral incisor with an open apex was done with MTA obturation. The clinical and radiographic followup done regularly showed that the tooth was clinically asymptomatic and that the size of the periapical lesion observed by intraoral periapical (IOPA) radiographs and CBCT was decreased remarkably after two years. CBCT and IOPA radiographs were found to be useful radiographic tools to assess the healing of a large periapical lesion in a non-vital tooth with open apex managed by MTA obturation.

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