scholarly journals Management of Complex Root Canal Curvature of Bilateral Radix Entomolaris: Three-Dimensional Analysis with Cone Beam Computed Tomography

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Muktishree Mahendra ◽  
Anand Verma ◽  
Sanjeev Tyagi ◽  
Santosh Singh ◽  
Kapil Malviya ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Three Dimensional ◽  
Nickel Titanium ◽  
Cone Beam ◽  
Complex Root ◽  
Single Cone ◽  
Mandibular First Molar

The meticulous knowledge of anatomic characteristics and their variations is essential for the clinician. Radix entomolaris (RE) is one such anomaly where an extra root is present on the distolingual aspect of the mandibular first molar. 18-year-old patient was referred for the root canal treatment of mandibular right and left first molars. Intraoral periapical radiograph revealed additional periodontal spacing crossing distal root of 36. A CBCT was advised and it confirmed the presence of extra roots both in 36 and 46. CBCT is useful in endodontics as it aids in the identification of essential anatomic structures and determination of radius and angle of root canal curvature which is linked to fracture of the instrument. The classical triangular access cavity was modified to a trapezoidal form to locate the extra canal. All canals were instrumented with controlled memory nickel titanium instruments and obturation was done with single cone technique.

scholarly journals Three Independent Mesial Canals in a Mandibular Molar: Four-Year Followup of a Case Using Cone Beam Computed Tomography

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Adrianne Freire de Paula ◽  
Manoel Brito-Júnior ◽  
Alex Carvalho Quintino ◽  
Carla Cristina Camilo ◽  
Antônio Miranda Cruz-Filho ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Three Dimensional ◽  
Cone Beam ◽  
Root Canals ◽  
Mandibular Molar ◽  
Root Canal Morphology ◽  
Root Canal System ◽  
Mandibular First Molar

Endodontic treatment of mandibular molars is challenging because of variable root canal morphology. The nonsurgical endodontic management of a mandibular first molar presenting an independent middle mesial canal is reported. After coronal access, additional clinical inspection of the mesial canals’ orifices and their interconnecting groove using an endodontic explorer and 4.5× loupes enabled the identification of the middle mesial canal orifice. All root canals were chemomechanically prepared and filled. The tooth was asymptomatic and functional after 4 years of followup. Cone beam computed tomography (CBCT) images revealed normal periapical status and three-dimensional (3D) anatomical aspects of the root canal system.

scholarly journals Mandibular First Molar with Vertucci Type I Canal Configuration diagnosed with the Help of Cone Beam Computed Tomography: A Rare Case Report

2014 ◽  
Vol 15 (6) ◽  
pp. 784-787
Author(s):  
Manoj Agarwal ◽  
HP Trivedi ◽  
Ankit Gaur ◽  
Manju Gupta ◽  
Anuradha Sharma ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Rare Case ◽  
Three Dimensional ◽  
Anatomical Variations ◽  
Cone Beam ◽  
Type I ◽  
Rare Case Report ◽  
Mandibular First Molar

ABSTRACT The knowledge of root canal morphology and the existing anatomical variations is essential for successful endodontic therapy. This report presents an extraordinary case of unusual tooth morphology involving the mandibular first molar with a single root and a single canal in a patient. Endodontic treatment of the affected tooth 36 was performed. Cone beam computed tomography (CBCT) images confirmed our diagnostic and therapeutic measures after endodontic management of the teeth. This morphologic variation has been reported once in the literature. The availability of three-dimensional images further provided the opportunity for the precise description of the anatomy of mandibular first molar with single roots and single canals. How to cite this article Gaur A, Trivedi HP, Gupta M, Sharma A, Likhyani L, Agarwal M. Mandibular First Molar with Vertucci Type I Canal Configuration diagnosed with the Help of Cone Beam Computed Tomography: A Rare Case Report. J Contemp Dent Pract 2014;15(6):784-787.

scholarly journals Determination of Root Canal Cleanliness by Different Irrigation Methods and Morphometric Analysis of Apical Third

2015 ◽  
Vol 16 (6) ◽  
pp. 442-450 ◽  
Author(s):  
Carlos Estrela ◽  
Fábio Heredia Seixas ◽  
Mike Reis Bueno ◽  
Manoel Damião Sousa-Neto ◽  
Jesus Djalma Pécora
Keyword(s):  
Computed Tomography ◽  
Morphometric Analysis ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Preparation Technique ◽  
Irrigation Methods ◽  
Significant Difference ◽  
Before And After

ABSTRACT Aim The aim of this study was to determine the root canal area before and after the instrumentation 1 mm short of the apical foramen by clinical and cone beam computed tomography (CBCT) methods, and to evaluate the cleanliness of the apical region in mesiodistal flattened teeth by using optical microscopy. Materials and methods Forty-two human single-canal mandibular incisors were instrumented using the Free Tip Preparation technique up to three, four or five instruments from the initial. Cone beam computed tomography scans were acquired of the samples before and after root canal preparation (RCP). Irrigation was performed by conventional or hydrodynamic means, using 2.5% sodium hypochlorite. The samples were prepared for observation under an optical microscope. Images were digitally obtained, analyzed and the results were submitted to statistical analysis (two-way ANOVA complemented by Bonferroni's post-test). Results There was no significant difference between the studied anatomical areas with both CBCT and clinical methods. There were no differences between irrigation methods. It was verified differences between instrumentation techniques. Instrumentation with four instruments from the initial instrument determined a significant increase in the contact area when compared to preparation with three instruments, but RCP with 5 instruments did not result in a better cleanliness. Conclusion The analysis with CBCT was not capable to determine the precise shape of surgical apical area comparing to the clinical method. Clinical significance Both the conventional and hydrodynamic irrigation techniques were not able to promote root canals debris-free. The instruments action in root canal walls was proportional to the number of instruments used from the initial apical instrument. How to cite this article Seixas FH, Estrela C, Bueno MR, Sousa-Neto MD, Pécora JD. Determination of Root Canal Cleanliness by Different Irrigation Methods and Morphometric Analysis of Apical Third. J Contemp Dent Pract 2015;16(6):442-450.

scholarly journals Method for determination of root curvature radius using cone-beam computed tomography images

2008 ◽  
Vol 19 (2) ◽  
pp. 114-118 ◽  
Author(s):  
Carlos Estrela ◽  
Mike Reis Bueno ◽  
Manoel Damião Sousa-Neto ◽  
Jesus Djalma Pécora
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
False Negative ◽  
Cone Beam ◽  
Curvature Radius ◽  
Negative Results ◽  
Computed Tomography Images ◽  
Root Curvature

This article describes and discusses a method to determine root curvature radius by using cone-beam computed tomography (CBCT). The severity of root canal curvature is essential to select instrument and instrumentation technique. The diagnosis and planning of root canal treatment have traditionally been made based on periapical radiography. However, the higher accuracy of CBCT images to identify anatomic and pathologic alterations compared to panoramic and periapical radiographs has been shown to reduce the incidence of false-negative results. In high-resolution images, the measurement of root curvature radius can be obtained by circumcenter. Based on 3 mathematical points determined with the working tools of Planimp® software, it is possible to calculate root curvature radius in both apical and coronal directions. The CBCT-aided method for determination of root curvature radius presented in this article is easy to perform, reproducible and allows a more reliable and predictable endodontic planning, which reflects directly on a more efficacious preparation of curved root canals.

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