scholarly journals Four-Rooted Mandibular First Molar with an Unusual Developmental Root Fusion Line: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Jojo Kottoor ◽  
Denzil Valerian Albuquerque ◽  
Natanasabapathy Velmurugan ◽  
Mylswamy Sumitha

The paper describes the anatomical variation of four roots in a mandibular permanent first molar diagnosed using multiple angulated preoperative radiographs and its successful nonsurgical endodontic management. Careful observation and exploration of the pulpal floor using a dental operating microscope revealed a peculiar developmental root fusion line on the pulp chamber floor. Based on the above observation, a correlation between this unusual line and the existence of additional roots has been proposed and discussed.

2021 ◽  
pp. 10-12
Author(s):  
Monika Rawat ◽  
Kamlendra K Roy ◽  
Anika Mittal ◽  
Aditi Dhaundiyal ◽  
Beenish Parvez ◽  
...  

This case report presented here shows the endodontic treatment of an uncommon case of mandibular rst molar with six canals . Even though such a nding is clinically uncommon but numerous case studies have been reported. Therefore, a thorough knowledge of the anatomy of root canal systems, the variations, correct assessment of the pulp chamber oor, use of operating microscope, taking proper radiographs plays a major role in management of such cases.


2020 ◽  
Vol 11 (3) ◽  
pp. 3316-3321
Author(s):  
Samrudhi Khatod ◽  
Anuja Ikhar ◽  
Pradnya Nikhade ◽  
Manoj chandak

A Patient came with the complaint of pain in the lower right back region of the jaw. Root canal treatment was planned. While preparing for the bio-mechanical procedure, the Hand pro taper fractured in the apical third. Iatrogenic occurred as a result of the fracture of the endodontic instrument. Retrieval of the fractured instrument was planned to complete the cleaning and shaping of the canal. The removal of the fractured instrument was planned to be done under the Dental Operating Microscope. The use of an operating microscope enhanced the illumination and the magnification of the instrument. This illumination and magnification helped in the precision of removal. The ultrasonic tip enabled to reach of the fractured instrument in the canal and loosen the dentin around the fractured instrument. It allowed easy retrieval of the fractured instrument. During the retrieval procedure, the fractured instrument was bypassed before the use of the ultrasonic tip. After the removal of the fractured instrument, cleaning and shaping were completed, followed by obturation, definitive restoration, and prosthesis. As the removal of the fractured instrument enabled complete cleaning and shaping, it improved the prognosis of the case. When the endodontic instrument gets fractured, it should be analyzed over the radiograph to assess the fracture level, the anatomy of the root canal, size of the fractured instrument, check accessibility, stage of fracture, etc. If all the above criteria are met with the removal of the instrument only then, replacement should be tried. Otherwise, it may lead to a severe loss of root dentin, decreasing fracture resistance of the root.


2016 ◽  
Vol 4 (12) ◽  
pp. 1926-1929
Author(s):  
Dr.Krishna PrasadaLashkari ◽  
◽  
Dr. AlkaShukla.

Author(s):  
Gozde Serindere ◽  
Ceren Aktuna Belgin ◽  
Kaan Orhan

Background: There are a few studies about the evaluation of maxillary first premolars internal structure with micro-computed tomography (micro-CT). The aim of this study was to assess morphological features of the pulp chamber in maxillary first premolar teeth using micro- CT. Methods: Extracted 15 maxillary first premolar teeth were selected from the patients who were in different age groups. The distance between the pulp orifices, the diameter of the pulp and the width of the pulp chamber floor were measured on the micro-CT images with the slice thickness of 13.6 µm. The number of root canal orifices and the presence of isthmus were evaluated. Results: The mean diameter of orifices was 0.73 mm on the buccal side while it was 0.61 mm on palatinal side. The mean distance between pulp orifices was 2.84 mm. The mean angle between pulp orifices was -21.53°. The mean height of pulp orifices on the buccal side was 4.32 mm while the mean height of pulp orifices on the palatinal side was 3.56 mm. The most observed shape of root canal orifices was flattened ribbon. No isthmus was found in specimens. Conclusion: Minor anatomical structures can be evaluated in more detail with micro-CT. The observation of the pulp cavity was analyzed using micro-CT.


1996 ◽  
Vol 1 (1) ◽  
pp. E3 ◽  
Author(s):  
Michael D. Cusimano ◽  
Ronald S. Fenton

A number of milestones have marked the development of transsphenoidal pituitary tumor resection this century. The introduction of headlamp illumination, followed by the use of the operating microscope and fluoroscopy have allowed neurosurgeons to perform this surgery in a safe and highly effective manner. With the aid of a case report, we describe the incorporation of endoscopic techniques in pituitary tumor resection. The technique described is minimally invasive, avoiding septal dissection and allowing unsurpassed, unobstructed, and panoramic visualization of the region of interest to the surgeon and operative team.


Morphologie ◽  
2021 ◽  
Author(s):  
G. Cançado de Morais Ribeiro ◽  
J. Damaceno Emiliano ◽  
Á. Campolina Fonseca ◽  
L. de Oliveira Botelho ◽  
L. Couto Castro ◽  
...  

Author(s):  
Mariane Bovino ◽  
Larissa de Souza Santos ◽  
Larissa Lopes Freitas de Albuquerque Cavalcante ◽  
Cacilda Castelo Branco Lima ◽  
Marina de Deus Moura de Lima ◽  
...  

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