Endodontic Treatment of a Maxillary First Molar with Seven Root Canals Confirmed with Cone Beam Computer Tomography – Case Report

A 52-year-old female patient was diagnosed with chronic periapical periodontitis associated with severely calcified lower central incisors. Radiographic examination revealed no visible root canal in the coronal-third of the root. After choosing the guided endodontic treatment, an intraoral scan (Trios, 3shape, Copenhagen, Denmark), in conjunction with a cone beam computed tomography (CBCT) scan, was taken in order to design and fabricate a printed guide. Virtual implant software was used to visualize the surgical access into the sclerosed root canals. After locating the canals, the guide was removed, and the teeth were treated under a rubber dam. The guided approach allows predictable, efficient endodontic treatment of teeth presenting calcified canals, with minimal removal of sound dentine and less risk of root perforations.

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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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Four rooted maxillary second molar confirmed with cone beam computer tomography – A case report

Giornale Italiano di Endodonzia ◽

10.1016/j.gien.2013.05.003 ◽

2013 ◽

Vol 27 (1) ◽

pp. 38-44

Author(s):

Jorge N.R. Martins ◽

Sérgio Quaresma ◽

João Malta Barbosa ◽

Maria Carlos Quaresma ◽

Craig Anderson

Keyword(s):

Case Report ◽

Computer Tomography ◽

Cone Beam ◽

Second Molar ◽

Cone Beam Computer Tomography

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Comparing Diagnostic Yield of Electromagnetic Navigational Bronchoscopy Guided With Real Time Cone Beam Computer Tomography Compared to Standard Fluoroscopy Guidance for Peripheral and Central Lung Lesions

Case Medical Research ◽

10.31525/ct1-nct04194333 ◽

2019 ◽

Author(s):

Keyword(s):

Real Time ◽

Computer Tomography ◽

Diagnostic Yield ◽

Cone Beam ◽

Lung Lesions ◽

Electromagnetic Navigational Bronchoscopy ◽

Cone Beam Computer Tomography ◽

Fluoroscopy Guidance

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Endodontic Management of a Maxillary First Molar with Two Palatal Canals and a Single Buccal Canal: A Case Report

Case Reports in Dentistry ◽

10.1155/2012/389387 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Leila Atash biz Yeganeh ◽

Mamak Adel ◽

Reza Vahedi ◽

Maryam Tofangchiha

Keyword(s):

Computed Tomography ◽

Treatment Outcome ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

Root Canals ◽

Type Iv ◽

Maxillary Molars ◽

Root Canal Morphology ◽

Canal Morphology

Thorough knowledge of root canal morphology is essential for the endodontic therapy. There are rare variations in canal number and configuration in maxillary molars, which could affect treatment outcome. This paper presents the endodontic management of a maxillary first molar with two palatal canals in one root (Vertucci type IV) and a single buccal canal. In this paper cone-beam computed tomography was made to asses this morphology. This paper is intended to reinforce clinician’s awareness of the rare morphology of root canals.

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Cone beam-computed tomography as an indispensable tool in the management of radiculous premolar: a case report

Journal of Research in Dentistry ◽

10.19177/jrd.v4e120161-3 ◽

2016 ◽

Vol 4 (1) ◽

pp. 1

Author(s):

Shristhi Sharma ◽

Ananth Raghav Sharma ◽

Vivek Kumar Rai ◽

Ronak Choudhary

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Anatomical Variations ◽

Endodontic Treatment ◽

Cone Beam ◽

Internal Anatomy ◽

Indispensable Tool ◽

Rule Out

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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