scholarly journals Endodontic Management of a Maxillary Molar with Three Mesiobuccal Canals

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Sirisha Gundam ◽  
Radhika Maddu ◽  
Sindhura Reddy Gurram

It is imperative that the clinician should have comprehensive knowledge about the normal anatomy and its variations of the teeth as the deviations from the usual are very common. An increased awareness of unusual anatomy and a better understanding of the root canal system guide the clinician in accurate diagnosis and treatment of such variations in order to achieve a successful endodontic outcome. The maxillary first molar has been shown to have a wide variation in respect to the number of canals specifically noted in the mesiobuccal root. The current case report shows the successful management of a maxillary molar in which the mesiobuccal root had three canals.

Author(s):  
Girish Nanjannawar ◽  
Saquib Mulla ◽  
Divya Gupta ◽  
Sharad Kamat

It is a well-recognised fact that incomplete cleaning, shaping and obturation of root canals will lead to endodontic failure. Mandibular second premolars usually have a single root and a single root canal. The presence of four separate roots and four root canals is quite rare. Hence, a comprehensive knowledge about the normal canal configuration along with its variations becomes an indispensable pre-requisite to achieve the success of endodontic treatment. Authors hereby present a case of a 26-year-old male patient and describe its succesful treatment of the mandibular second premolar with four roots and four root canals. The clinical implications of this paper aim at establishing an accurate diagnosis of the root canal system using diagnostic aids such as angulated radiographs and making use of advanced endodontic instruments for successful retreatment of endodontic therapy (C+ files and NiTi rotary endodontic instruments).


2018 ◽  
Vol 19 (3) ◽  
pp. 345-351
Author(s):  
Michael W Ford

ABSTRACT Aim and background Debriding and disinfecting complex anatomies within the root canal system pose a major challenge during root canal therapy. Even with current chemomechanical techniques, debris and bacterial remnants are commonly left behind, which are generally believed to increase the risk of endodontic failure. This case details the use of a new technique to debride complex apical anatomy in a maxillary molar. Case report A 48-year-old female presented to the clinic with a chief complaint of increasing pain in her tooth. Clinical examination of the right first maxillary molar (#3) revealed moderate sensitivity to percussion and mild sensitivity to palpation. A pulpal diagnosis of symptomatic irreversible pulpitis and a periapical diagnosis of symptomatic apical periodontitis were made. Mechanical instrumentation was performed using rotary file size #25/.04 for the mesiobuccal and distobuccal canals and size #25/.06 for the palatal canal to create a fluid path and enable obturation of the root canal system following the GentleWave® Procedure. The GentleWave Procedure was completed using Multisonic Ultracleaning™ for complete debridement and disinfection of the root canal system. The tooth was obturated using a warm vertical continuous wave obturation technique. Postoperative radiographs revealed complex anatomy within the apical third that was undetected both during pre-operative radiography and mechanical instrumentation. The palatal canal exhibited a complex apical delta with multiple points of exit, and the mesiobuccal canal revealed an undetected lateral canal within the apical third that had a separate and distinct egress. Conclusion and clinical significance It is important for the clinician to debride and disinfect complex anatomy within the root canal system to reduce the risk of endodontic failure. This case report highlights the clinical significance of utilizing the GentleWave Procedure for detecting complex apical anatomy during endodontic therapy. How to cite this article Ford MW. Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy. J Contemp Dent Pract 2018;19(3):345-351.


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Gautam P. Badole ◽  
Rakesh N. Bahadure ◽  
M. M. Warhadpande ◽  
Rajesh Kubde

A thorough knowledge of root canal morphology is a prerequisite for the endodontic therapy. The maxillary molars, especially the second molars, have the most complicated root canal system in permanent dentition. There are many variations in canal number and configuration in maxillary molars. Treatment may be unsuccessful because the dentist may fail to recognize the unusual canal configuration. The present paper describes a case of a right maxillary second molar with a canal configuration rarely reported in the literature. The tooth had four roots with four root canals, two individual palatal roots (mesiopalatal and distopalatal) with their own separate canals. The mesiobuccal and distobuccal root had normal anatomy. This paper may intensify the complexity of maxillary molar variation and is intended to reinforce clinician’s awareness of the rare morphology of root canals.


Author(s):  
Muhammad Ali

Evaluating morphology of a root canal is important in determination of a successful endodontic therapy. This article highlights the need to be aware of different morphologies, which can exist in the root canal system of upper molars. This is usually associated with buccal root and has been documented in several studies in literature. On the other hand, it is not often that we come across variations in the palatal roots. These cases discuss such a case where two canals were discovered in palatal root during root canal treatment of maxillary first molar. It is essential to evaluate pre-operative radiographs and have proper knowledge of anatomy of the root canal system before initiating the treatment. All roots must be explored carefully to ensure that all canals are negotiated, debrided and obturated to ensure successful endodontic outcome. This case report shows a case series in endodontic management of a maxillary first molar with two palatal canals.


2017 ◽  
Vol 6 (2) ◽  
pp. 1558
Author(s):  
Mridusmita Mukherjee ◽  
Krutika Shekhawat

Root perforations are one of the many consequences of compromised endodontic procedure. It not only poses a significant problem in treatment outcome but also greatly affects the prognosis if not repaired in time. If it occurs, it allows microbial invasion and inflammation in the non-invated area of operation. So, choice of restorative material should be such that it closes the pathway of communication between the root canal system and its associated tissues. It should possess all the good qualities of an ideal orthograde or retrograde filling material. The following note describes a case report of a young boy with failed root canal treatment performed earlier with its steps of management.


2019 ◽  
Vol 10 (2) ◽  
pp. 179-182
Author(s):  
Mario Buonvivere ◽  
Matteo Buonvivere

The proper knowledge of the root canal system anatomy is crucial to perform successful endodontic treatments. Maxillary lateral incisors usually have a single root. However, aberrant canal configurations of this tooth have been reported in the literature. The clinician should be aware of the difficulties arising from this more complex root canal anatomy and should be able to manage them. A rare case of a maxillary lateral incisor with three root canals is presented in this article; the challenge of diagnosis and treatment in similar situations is also discussed.


2012 ◽  
Vol 13 (5) ◽  
pp. 719-722 ◽  
Author(s):  
Anand Patil ◽  
Lalita G Nanjannawar ◽  
Girish S Nanjannawar ◽  
Hemanth Vagarali ◽  
Bharath Prathasarathy

ABSTRACT Pulp stones are nodular, calcified masses commonly appearing in the coronal pulp and occasionally extending in radicular pulp. Retrieval of pulp stones remains a challenge for the endodontist as complete cleaning and shaping of root canal system is the bases for successful endodontic therapy. The aim of this case report is to show the retrieval of long pulp stones measuring 14 and 9.5 mm by utilizing synergistic effect of ultrasonics and sodium hypochlorite from the palatal roots of maxillary molars. Such case has not been reported in the literature so far. How to cite this article Nanjannawar GS, Vagarali H, Nanjannawar LG, Prathasarathy B, Patil A, Bhandi S. Pulp Stone—An Endodontic Challenge: Successful Retrieval of Exceptionally Long Pulp Stones measuring 14 and 9.5 mm from the Palatal Roots of Maxillary Molars. J Contemp Dent Pract 2012;13(5):719-722.


2018 ◽  
Vol 1 (1) ◽  
pp. 01-02
Author(s):  
Mohammed M Alhajj ◽  
Tahmineh Artin ◽  
Ndia Khalifarena

Foreign bodies in root canals are rarely seen, and usually objects are accidently lodged and broken in root canals by the patients themselves. The occurrence of a foreign body, such as a metal screw, staple pin, sewing needle, pencil lead, bead or toothpick in the root canal system, makes the eradication of microorganisms impossible. Due to difficulties of eradicating microorganisms, foreign bodies may become sources of infection. These objects must be removed. This case report describes a rare clinical case in which a sewing needle, inserted into the root canal by the patient, was removed the orthograde approach with the aid of ultrasonic devices.


Author(s):  
Dr. Anil K Tomer ◽  
Dr. Akankshita Behera ◽  
Dr. Mehak Dogra ◽  
Dr. Anila Krishna Saxena ◽  
Dr. Nitish Mittal ◽  
...  

The root canal system presents a complex anatomy. It is a myriad complex of canals and their various portals of exits. The maxillary first molar is an important tooth in the arch and is of prime functional importance. In maximum cases, the maxillary first molar shows presence of three canals viz. mesiobuccal, distobuccal and palatal canal. At times, there may be presence of four or five canals. These extra canals may be present as a second mesiobuccal canal, a second distobuccal canal or an extra canal in the palatal root. These canals are often missed by the clinician. Their identification has benefitted from technological innovations like microscopes and ultrasonics that have enabled easy identification of the orifices of these canals. This case report presents a case of root canal treatment of maxillary first molar with four canals.


Sign in / Sign up

Export Citation Format

Share Document