ProTaper Universal Manual Technique in Premolar with Two Roots and Three Root Canals

The high morphological complexity of premolars, has led to propose different techniques for successful endodontic therapy. The purpose of this report is to describe the ProTaper manual technique in a second mandibular premolar showing a high anatomical complexity. A patient of 19 years old co- mes to the clinic of endodontic in the Regional Hospi- tal (Temuco), diagnosed with irreversible pulpitis on tooth 35. Radiographic examination found that the tooth has two roots. For clinical suspicion of the presence of a third canal a Cone Beam computed tomography was requested, which confirmed the existence of a distolingual canal. Because it is a complex case, the increased taper endodontic technique was performed, allowing us to complete the endodontic therapy in less time and with less difficulty.

Evaluation of Distolingual Canal/Roots in Mandibular Molars and Mesiobuccal Canals in Maxillary Molars by CBCT

Background/Purpose: The objectives of this study were to identify the bilateral distolingual (DL) canals / roots of the mandibular first molars and second mesiobuccal (MB2) canals of the maxillary first molars in the same Turkish individuals using cone-beam computed tomography (CBCT). Materials and Methods: A total of 150 CBCT images including all mandibular and maxillary first molars were retrospectively investigated in a Turkish subpopulation. The patient age, sex and presence of roots and root canals were assessed. The frequency, of bilateral DL canals, DL roots, and MB2 canals were reviewed. Data were analyzed using Fisher’sexact test and Chi-square test. Results: The prevalences of right DL canals, DL roots and MB2 canals were 31.3, 14.0 and 34.7%, respectively. The prevalences of left DL canals, DL roots and MB2 canals were 31.3, 4 and 27.3%, respectively. There was no statistically difference in the frequency of right and left DL canals, DL roots of mandibular first molars and MB2 canals of maxillary first molars according to gender. Conclusion: CBCT is a competent tool for the detection of additional distolingual canals/roots and second mesio buccal canals, and it is a valuable aid for dentists providing root canal treatment.

Detection of Mesiobuccal Canal in Maxillary Molars and Distolingual Canal in Mandibular Molars by Dental CT: A Retrospective Study of 100 Cases

Objective. To detect presence of MB2 canal in maxillary molars and distolingual canal in mandibular molars by Dental CT.Material and Methods. A retrospective study of 100 Dental CTs was done. Axial and paraxial images obtained were used to assess the presence of MB2 canal in maxillary molars and distolingual canal in mandibular molars.Results. The youngest patient was of 11 years while the eldest patient was of 77 years. Males were 58 in number and females were 42 in number. MB2 canals were present in 57 patients and distolingual canal was present in 18 patients. Maximum MB2 canals were present in age group between 51 and 60 years, while distolingual canals were present in age group of 21–30 years.Conclusion. Dental CT allows adequate visualization of variation in root canal morphology and can be important diagnostic tool for successful endodontic therapy.