ABSTRACT
This case report presents the endodontic management of maxillary right second molar exhibiting 5 roots and 5 root canals. The diagnosis was confirmed with the help of cone beam computerized tomography (CBCT). The article also describes the varied morphology associated with maxillary second molar and the use of a high-end diagnostic imaging modality like CBCT in diagnosing and negotiating these anatomic variations.
Subject(s)
Dental Pulp Cavity/anatomy & histology , Dental Pulp Cavity/diagnostic imaging , Molar/anatomy & histology , Pulpitis/therapy , Root Canal Preparation/methods , Adult , Cone-Beam Computed Tomography , Humans , Male , Maxilla , Microscopy , Molar/diagnostic imaging , Odontometry/methods , Post and Core Technique , Pulpitis/diagnostic imaging , Root Canal ObturationABSTRACT
INTRODUCTION: The purpose of this article was to emphasize the importance of having a thorough knowledge about the root canal anatomy. METHODS: This case report presents the endodontic management of a maxillary first molar with three roots and seven canals. The clinical detection of the seven canals was made using a surgical operating microscope and confirmed using cone-beam computed tomography (CBCT) scanning. RESULTS: CBCT axial images showed that both the palatal and distobuccal root have a Vertucci type II canal pattern, whereas the mesiobuccal root showed a Sert and Bayirli type XV canal configuration. CONCLUSION: This report describes and discusses the variation in canal morphology of maxillary first molar and the use of latest adjuncts in successfully diagnosing and negotiating them.
Subject(s)
Dental Pulp Cavity/anatomy & histology , Dental Pulp Cavity/diagnostic imaging , Molar/anatomy & histology , Adult , Cone-Beam Computed Tomography , Humans , Male , Maxilla , Microscopy/instrumentation , Molar/diagnostic imaging , Odontometry/methods , Root Canal Therapy/instrumentation , Root Canal Therapy/methodsABSTRACT
This article discusses the successful endodontic management of 3 permanent maxillary first molars presenting with the anatomical variation of 3 roots and 6 root canals. A literature review pertaining to the variable root canal morphology of the permanent maxillary first molar is also presented. Modifications in the root canal access preparation and methods for examination of the pulpal floor with the aid of magnification for identification of additional canals are emphasized.