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

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.

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SIX CANALLED MAXILLARY FIRST MOLARS. A CASE REPORT

International Journal of Medical Science and Diagnosis Research ◽

10.32553/ijmsdr.v4i11.713 ◽

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

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C-shaped canal configuration in lower molar - Case report

Brazilian Dental Science ◽

10.14295/bds.2015.v18i2.1017 ◽

2015 ◽

Vol 18 (2) ◽

pp. 115

Author(s):

Lauren Grandi Dos Santos ◽

Amanda Nunes Gallas ◽

Josué Martos ◽

Luiz Fernando Machado Silveira

Keyword(s):

Case Report ◽

Root Canal ◽

Anatomical Variation ◽

Endodontic Treatment ◽

Radiographic Examination ◽

Periapical Lesion ◽

Second Molar ◽

Gutta Percha ◽

Mandibular Second Molar ◽

Lower Molar

The C-shape configuration in molars it’s an anatomical variation that difficult the diagnosis and treatment. The aim of this study was to report a case of C-shape endodontic configuration in mandibular second molar. The radiographic examination of one patient revealed the extent of caries in the mesial aspect of mandibular second molar, without the presence of periapical lesion and was clinically noted the C-shape configuration of the root canal, extending from the mesiobuccal to the distal canal. Endodontic therapy was performed and after the root canal obturation with gutta-percha cones and endodontic cement the tooth was restored. We conclude that the anatomical condition in C-shape, although it brings many difficulties for the endodontic treatment, does not preclude the tooth rehabilitation.

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Endodontic Management of Maxillary Second Molar Tooth with a Single Root and Single Canal

Case Reports in Dentistry ◽

10.1155/2020/2829304 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Neelam Mittal ◽

Vijay Parashar ◽

Prasad Suresh Patel

Keyword(s):

Case Report ◽

Root Canal ◽

Endodontic Treatment ◽

Molar Tooth ◽

Comprehensive Understanding ◽

Second Molar ◽

Single Root ◽

Maxillary Molar ◽

Root Canal Morphology ◽

Canal Morphology

Comprehensive understanding of variations in the root canal morphology of a maxillary molar is useful for performing successful endodontic treatment in such cases. This case report describes endodontic management of a case with such aberrant root canal morphology of a maxillary second molar having a single root and single canal.

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Maxillary Canine with two roots and two canals: A case report

Research Society and Development ◽

10.33448/rsd-v10i2.12599 ◽

2021 ◽

Vol 10 (2) ◽

pp. e36410212599

Author(s):

Fausto Rodrigo Victorino ◽

Isabela Silva Rocha ◽

Rafael de Oliveira Lazarin ◽

Marcelo Augusto Seron ◽

Gustavo Sivieri-Araujo ◽

...

Keyword(s):

Case Report ◽

Root Canal ◽

Correct Diagnosis ◽

Anatomical Variations ◽

Maxillary Canine ◽

Root Canals ◽

Gutta Percha ◽

Ah Plus ◽

Radiolucent Lesion ◽

Root Canal System

Introduction: Knowledge of the anatomy and root canal system is of fundamental importance for a successful endodontic treatment. Maxillary canines unusually possess two root canals. Aim: The present study aims to present a maxillary canine with two roots and two canals through a clinical case. Case report: A male patient was referred for the treatment of a root perforation of the tooth 23. Clinical examination revealed the presence of vestibular fistula and mild pain with vertical and horizontal percussion. Through a tomographic examination, the presence of two roots and two root canals was observed in addition to a radiolucent lesion at the middle third of the roots but without perforation in the middle third. Coronary opening and the localization of the vestibular and palatal canals were performed. The root canal length was performed with Romi Apex A-15® foraminal locator and instrumentation was conducted by using Protaper Next® system. Due to the presence of fistula, calcium hydroxide manipulated with propylene glycol was used as intracanal medication for 30 days. After this period, the root canals were filled with gutta-percha and AH Plus® cement and a new tomographic examination was undertaken, which confirmed the complete filling of the root canals and the absence of root perforation. Conclusion: Given the above, endodontic professionals shall be aware of possible anatomical variations and make use of auxiliary resources when appropriate, such as cone beam computed tomography (CBCT), to ensure correct diagnosis and, consequently, a successful root canal treatment.

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Management of Mandibular Lateral Incisor with Two Roots: a Case Report

International Journal of Medical and Dental Sciences ◽

10.19056/ijmdsjssmes/2016/v5i1/83583 ◽

2016 ◽

Vol 5 (1) ◽

pp. 1093 ◽

Cited By ~ 1

Author(s):

Pardeep Mahajan ◽

Ruma Grover ◽

Shikha Baghi Bhandari ◽

Prashant Monga ◽

Vanita Keshav

Keyword(s):

Case Report ◽

Root Canal ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

Lateral Incisor ◽

Successful Outcome ◽

Filling Material ◽

Canal System ◽

Root Canals ◽

Root Canal System

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.

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Single Canal in a Single-Rooted Mandibular Second Molar: A Paradox

International Healthcare Research Journal ◽

10.26440/ihrj/02_06/195 ◽

2018 ◽

Vol 2 (6) ◽

pp. 131-132

Author(s):

Anil K Tomer ◽

Akankshita Behera ◽

Nitish Mittal ◽

Nutan Indwar

Keyword(s):

Case Report ◽

Root Canal ◽

Anatomical Variations ◽

Canal System ◽

Second Molar ◽

Root Canals ◽

Mandibular Molar ◽

Mandibular Second Molar ◽

Root Canal System ◽

Endodontic Diagnosis

During endodontic diagnosis multirooted teeth morphologically, shows variable root canal system . This case report explains the anatomical variations of root and root canals. Here it is shown that a single canal is present in mandibular second molar. Therefore we should be aware that a single canal can also be present in mandibular molar.

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

Case Reports in Dentistry ◽

10.1155/2013/138239 ◽

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.

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A Rare Root Canal Configuration of Maxillary Second Molar: A Case Report

Case Reports in Dentistry ◽

10.1155/2012/767582 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 4

Author(s):

Gautam P. Badole ◽

Rakesh N. Bahadure ◽

M. M. Warhadpande ◽

Rajesh Kubde

Keyword(s):

Root Canal ◽

Normal Anatomy ◽

Canal System ◽

Second Molar ◽

Root Canals ◽

Maxillary Molars ◽

Maxillary Molar ◽

Root Canal Morphology ◽

Root Canal System ◽

Canal Morphology

A thorough knowledge of root canal morphology is a prerequisite for the endodontic therapy. The maxillary molars, especially the second molars, have the most complicated root canal system in permanent dentition. There are many variations in canal number and configuration in maxillary molars. Treatment may be unsuccessful because the dentist may fail to recognize the unusual canal configuration. The present paper describes a case of a right maxillary second molar with a canal configuration rarely reported in the literature. The tooth had four roots with four root canals, two individual palatal roots (mesiopalatal and distopalatal) with their own separate canals. The mesiobuccal and distobuccal root had normal anatomy. This paper may intensify the complexity of maxillary molar variation and is intended to reinforce clinician’s awareness of the rare morphology of root canals.

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Role of Comprehensive Diagnostic, Imaging and Treatment Strategies in Endodontic Retreatment of a Maxillary Molar with Unusual Anatomy: A Case Report

International Journal of Research and Review ◽

10.52403/ijrr.20210619 ◽

2021 ◽

Vol 8 (6) ◽

pp. 155-159

Author(s):

Kritika Ahuja ◽

Sachin Gupta ◽

Vineeta Nikhil

Keyword(s):

Case Report ◽

Root Canal ◽

Treatment Strategies ◽

Endodontic Treatment ◽

Unique Challenge ◽

Maxillary Molar ◽

Root Canal System ◽

Endodontic Retreatment ◽

Current Report

An appreciation of the anatomic complexity of the root canal system is essential at every step of endodontic treatment. Endodontic treatment of teeth with unusual root canal anatomy presents a unique challenge. This clinical case report presents the application of cone beam computed tomography as a useful imaging technique in endodontics for the management of teeth with aberrant anatomy. Failure to detect an extra canal may lead to treatment failure. The current report presents the management of a previously endodontically treated maxillary first molar with missed additional mesiobuccal and distobuccal canals. Keywords: CBCT, Canal Morphology, Maxillary molar, Missed canal, Retreatment.

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Endodontic Management of Radix Entomolaris and pulp stone in Mandibular First Molar of 25 mm length - Case Report

International Journal of Dentistry Research ◽

10.31254/dentistry.2019.4202 ◽

2019 ◽

Vol 4 (2) ◽

pp. 40-42

Author(s):

Kadambari Padmanabhan ◽

Keyword(s):

Case Report ◽

Root Canal ◽

Endodontic Treatment ◽

Successful Outcome ◽

Canal System ◽

Root Canals ◽

Root Canal Morphology ◽

Root Canal System ◽

Mandibular First Molar ◽

Canal Morphology

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.

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