scholarly journals Endodontic Treatment of Bilateral Maxillary First Premolars with Three Roots Using CBCT: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sujatha Gopal ◽  
Gijo John ◽  
K. Pavan Kumar ◽  
Swarna Latha ◽  
Suma Latha ◽  
...  

One of the determining factors for the success of endodontic therapy is understanding the morphological anatomy of the tooth structure and its variants in relation to its template anatomy. The internal anatomy of maxillary first premolars is particularly complex due to their variation in number of roots and canal configuration. However, the bilateral presence of three roots in a maxillary first premolar is of rare occurrence. This case report describes the unusual anatomy bilaterally detected in maxillary first premolars using Cone-Beam Computed Tomography.

2016 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Shristhi Sharma ◽  
Ananth Raghav Sharma ◽  
Vivek Kumar Rai ◽  
Ronak Choudhary

Background: Internal anatomy of maxillary first premolars is particularly multifaceted on account of the variation in number of roots and canal configuration. Maxillary first premolars with 3 roots are called as small molar or “radiculous” because of their similar anatomy to the maxillary first molars. The most demanding step in endodontic treatment is identification and proper access to pulp canals of certain teeth with atypical canal configurations. Methods of identification of such premolars can be by various aides.Case Presentation: The present case describes the application of Cone Beam-Computed Tomography in the diagnosis of extra root with extra canal in a three rooted maxillary right first premolar.Conclusions: Proper knowledge of the anatomical variations is a must for an endodontist to make a treatment successful. Utilizing the latest technology along with the traditional concepts can surely rule out the inaccuracy in the treatment involved in such cases.


Author(s):  
Mahesh P Singh ◽  
Rizwan Qureshi ◽  
Santosh K Singh ◽  
Kriti Sharma

ABSTRACT Radix entomolaris (RE) is the presence of an extra root in the lingual aspect of the mandibular molars. This is a rare anatomic variant, prevalence of which ranges between 5.96 and 6.67% in the Indian population. For a successful endodontic management, detection of these extra roots is important. In conventional radiography, these extra roots tend to be overlapped; thus, cone- beam computed tomography (CBCT) provides a noninvasive technique to study the internal and external anatomy and aids in proper detection. The endodontic treatment of RE requires some modifications in the endodontic treatment as compared with the common two-rooted anatomic variant. This article presents a clinical case report of successful detection and endodontic man- agement of mandibular first and second molar with extralingual root using CBCT as a diagnostic tool. This case report involves the endodontic treatment and presence of extra roots in both the mandibular first molar and second molar simultaneously in a single patient of Indian origin, which is a rare finding and has not been reported in endodontic literature till date. How to cite this article Qureshi R, Agarwal M, Singh MP, Singh SK, Sharma K. Endodontic Management of a Rare Ana- tomic Variation of Radix Entomolaris in Mandibular First and Second Molar using Cone-beam Computed Tomography as a Diagnostic Aid. Int J Prosthodont Restor Dent 2017;7(1):30-33.


2017 ◽  
Vol 90 (4) ◽  
pp. 459-463
Author(s):  
Pradeep Jain ◽  
Pallav Patni ◽  
Pant Yogesh ◽  
Vyas Anup

The endodontic treatment of maxillary third molar often poses a challenge even to an experienced endodontist because of their most posterior location in the dental arch, aberrant occlusal anatomy, abnormal root canal configuration and eruption patterns. Owing to these anatomical limitations, their extraction remains the treatment of choice for many clinicians. As we know, retaining every functional component of the dental arch is of prime importance in contemporary dental practice. This clinical case report aims to discuss the endodontic treatment of maxillary third molar with MB2 root canal separated throughout the length and exit at two separate apical foramina (Vertucci type IV) diagnosed with Cone Beam Computed Tomography (CBCT).


2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Vijay Shekhar ◽  
K. Shashikala

Management of a tooth with open apex is a challenge to the dental practitioners. Evaluation of the periapical healing is required in such cases by radiographic techniques. The objective of this paper was to assess the healing of a periapical lesion in a non-vital tooth with open apex treated with mineral trioxide aggregate (MTA) obturation using cone beam computed tomography (CBCT). The endodontic treatment of a fractured non-vital discolored maxillary left lateral incisor with an open apex was done with MTA obturation. The clinical and radiographic followup done regularly showed that the tooth was clinically asymptomatic and that the size of the periapical lesion observed by intraoral periapical (IOPA) radiographs and CBCT was decreased remarkably after two years. CBCT and IOPA radiographs were found to be useful radiographic tools to assess the healing of a large periapical lesion in a non-vital tooth with open apex managed by MTA obturation.


2015 ◽  
Vol 28 (3) ◽  
pp. 231-234
Author(s):  
EMI OKI ◽  
NINA WAKIMOTO ◽  
HIROSHI MORI ◽  
KEIICHI UCHIDA ◽  
NORIYUKI SUGINO ◽  
...  

2020 ◽  
Vol 6 (2) ◽  
pp. 90-93
Author(s):  
Charu Thanvi ◽  
Deepak Raisingani ◽  
Ashwani B. Prasaad ◽  
Saloni Gattani

Having a thorough knowledge about the internal anatomy of a tooth and its possible variations is an important aspect for the success of a root canal therapy. Variations in the number of roots, root canals and configurations affect the treatment outcome. Moreover, missed canals make up for the highest chances of failure of endodontic therapy(1).   A maxillary first molar shows lot of variations in the anatomy. Although finding MB2 canal has now become a routine procedure, but variations in the palatal canal is still aberrant which concerns the clinicians. With the advancements in radiographic procedures, it has now become an easy task to look for aberrations in tooth anatomy. One such advancement is the Cone Beam Computed Tomography (CBCT) which acts as the third eye for clinicians. It helps in accurate diagnosis and in negotiating the complex morphologic variations in root canals(2).   This case report presents the endodontic management of a maxillary first molar presenting with five canals with two palatal canals confirmed with the aid of Cone Beam Computed Tomography.


2019 ◽  
Vol 4 (3) ◽  
pp. 97-98
Author(s):  
Abbas Basiri ◽  
◽  
Shervin Bagherieh ◽  

Variations in the root canal morphology have been extensively reported in endodontic literature. Gemination is one rare variation frequently seen in anterior teeth which are defined by two clinical crowns joining in one root. This study reports a maxillary first premolar with gemination. Although uncommon, knowing about this anatomical variation can help in successful endodontic treatment.


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