ENDODONTIC MANAGEMENT OF SIX CANALS IN MANDIBULAR FIRST MOLAR : A CASE REPORT.

2021 ◽  
pp. 10-12
Author(s):  
Monika Rawat ◽  
Kamlendra K Roy ◽  
Anika Mittal ◽  
Aditi Dhaundiyal ◽  
Beenish Parvez ◽  
...  
Keyword(s):  
Case Report ◽  
Case Studies ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Operating Microscope ◽  
Pulp Chamber ◽  
Numerous Case ◽  
Canal Systems ◽  
Uncommon Case ◽  
Mandibular First Molar

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.

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
Keyword(s):  
Case Report ◽  
Anatomical Variation ◽  
Fusion Line ◽  
Operating Microscope ◽  
Pulp Chamber ◽  
Careful Observation ◽  
Mandibular First Molar ◽  
Chamber Floor

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.

scholarly journals Endodontic Management of C-shaped Root Canal System of Mandibular First Molar by using a modified Technique of Self-adjusting File System

2015 ◽  
Vol 16 (1) ◽  
pp. 77-80 ◽  
Author(s):  
Dilek Helvacioglu-Yigit
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Canal System ◽  
Modified Technique ◽  
Rotary Instruments ◽  
Molar Teeth ◽  
Root Canal System ◽  
Mandibular First Molar ◽  
Canal Morphology

ABSTRACT Aim C-shaped canal system is a seldom-found root canal anatomy which displays a challenge in all stages of endodontic treatment. According to the literature, this type of canal morphology is not a common finding in the mandibular first molar teeth. Background This case report presents endodontic management of a mandibular first molar with a C-shaped canal system. Case report Root canal system was cleaned and shaped by nickel-titanium (NiTi) rotary instruments combined with selfadjusting file (SAF). Obturation was performed using warm, vertical condensation combined with the injection of warm gutta-percha. Follow-up examination 12 months later showed that the tooth was asymptomatic. The radiological findings presented no signs of periapical pathology. Clinical significance The clinician must be aware of the occurence and complexity of C-shaped canals in mandibular first molar teeth to perform a successful root canal treatment. The supplementary use of SAF after application of rotary instruments in C-shaped root canals might be a promising approach in endodontic treatment of this type of canal morphology. How to cite this article Helvacioglu-Yigit D. Endodontic Management of C-shaped Root Canal System of Mandibular First Molar by using a modified Technique of Self-adjusting File System. J Contemp Dent Pract 2015;16(1):77-80.

scholarly journals Middle Mesial Canal: A Common Finding — A Report of Three Cases

2014 ◽  
Vol 4 (3) ◽  
pp. 152-156 ◽  
Author(s):  
Swati Bhosale ◽  
Akilan Balasubramanian ◽  
Rameshkumar Maroli ◽  
S Jayasree
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Clinical Results ◽  
Endodontic Treatment ◽  
Common Finding ◽  
Morphological Variations ◽  
Mandibular Molar ◽  
Root Canal System ◽  
Treat All ◽  
Mandibular First Molar

ABSTRACT Aims and objectives To present clinical case report of three mandibular first molar with middle mesial canal of independent and confluent type. Case Report Three patients with chief complaint in mandibular first molars were referred for endodontic treatment. All the three mandibular first molar showed presence of middle mesial canal and, in one case, extra root was observed. With aid of proper diagnostic and radiographic techniques, the endodontic treatment was performed. Conclusion Good knowledge of the potential aberrant canal morphology in mandibular molar will help clinician to successfully recognize and treat these difficult cases. Morphological variations in root canal system anatomy should always be considered at the beginning of treatment. Once endodontic treatment has been initiated, proper access cavity preparation is a basic prerequisite for the investigation and successful detection of all root canal orifices. Every effort should be made to find and treat all canals for successful clinical results. Better illumination and magnification under microscope help in locating hidden canals. How to cite this article Bhosale S, Balasubramanian A, Maroli R, Jayasree S. Middle Mesial Canal: A Common Finding— A Report of Three Cases. J Contemp Dent 2014;4(3):152-156.

scholarly journals Internal granuloma with perforation – 2 case report

2015 ◽  
Vol 21 (4) ◽  
pp. 196-200
Author(s):  
Suciu Ioana ◽  
B. Dimitriu ◽  
C. Varlan ◽  
Cotrut Dana ◽  
Cristea Diana ◽  
...  
Keyword(s):  
Case Report ◽  
Chronic Inflammation ◽  
Root Canal ◽  
Treatment Success ◽  
Endodontic Treatment ◽  
Pulp Chamber ◽  
Pulp Tissue ◽  
Pulp Inflammation ◽  
Clinical Cases

Abstract Internal resorption was associated with long-term chronic inflammation of the pulp (chronic granulomatous pulpitis). When internal resorption is radiographically confirmed, endodontic treatment becomes a necessity. Vital teeth internal resorption appears radiographically as an oval enlargement of the pulp chamber and root canal with smooth, symmetrical outline. Internal granuloma is assumed to be an effect of the trauma, or pulp inflammation, the ailment is rare, asymptomatic and might progress rapidly, causing perforation. It is difficult to remove the pulp tissue from the resorptive defect, since this area is not easily accessible for instrumentation. The delay of the endodontic treatment may lead the internal resorption to perforation, thus decreasing the chances of treatment success. In the following paper, we present a total of two clinical cases with internal granuloma with perforation that have benefited of specific endodontic treatment.

scholarly journals An in vivo Study of Variations in the Canal Anatomy of Maxillary and Mandibular First Molar using Surgical Operating Microscope

2013 ◽  
Vol 4 (1) ◽  
pp. 47-55
Author(s):  
Sayed Abrar Bashir Ahmed ◽  
Mansing Ganpati Pawar
Keyword(s):  
Root Canal ◽  
In Vivo Study ◽  
Operating Microscope ◽  
Canal Systems ◽  
Molar Teeth ◽  
Root Canal Morphology ◽  
Mandibular First Molar ◽  
Canal Morphology

ABSTRACT Introduction The success of endodontic therapy depends upon the ability of the clinician to locate, clean, shape and completely obturate all the root canal systems present in a tooth. In the recent times number of additional canals vs traditional canals has been very striking and pointing toward a greater degree of variation in the root canal morphology which needs to studied, understood and born in mind during practice so as to enhance the success. Introduction of surgical operating microscope is a major breakthrough in enhancement of vision in endodontics which not only gives required magnification but also coaxial illumination and video output. These facilities should be of a great help in location of small otherwise difficult to locate accessory canals. Materials and methods This in vivo study was planned to study variations in the canal anatomy of maxillary and mandibular first molar using surgical operating microscope using 200 first molar teeth, 100 maxillary and 100 mandibular groups, each group to be divided into 50 males and 50 female subgroups. After access opening chambers were cleaned, dried and observed and imaged under the microscope. Results The observations were recorded and incidences of variations in anatomy were analyzed subjecting the same to SPSS version 16.0. Conclusion It was observed that surgical operating microscope enhances clinician's ability to locate additional canals in the teeth. How to cite this article Abrar BAS, Pawar MG. An in vivo Study of Variations in the Canal Anatomy of Maxillary and Mandibular First Molar using Surgical Operating Microscope. World J Dent 2013;4(1):47-55.

scholarly journals Endodontic Management of Mandibular First Molar with Middle Distal Canal: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Vijay Reddy Venumuddala ◽  
M. Sridhar ◽  
M. Rajasekaran ◽  
Saravanan Poorni ◽  
Gnanaprakasam Senthilkumaran
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Unique Case ◽  
Mandibular Molar ◽  
Root Canal Morphology ◽  
Mandibular First Molar ◽  
Canal Morphology

The knowledge of variations in root canal morphology is critical for a successful endodontic treatment. This article presents the endodontic management of a unique case of mandibular molar with middle distal canal which is quite uncommon.

scholarly journals Endodontic Management of Radix Entomolaris and pulp stone in Mandibular First Molar of 25 mm length - Case Report

2019 ◽  
Vol 4 (2) ◽  
pp. 40-42
Author(s):  
Kadambari Padmanabhan ◽  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Successful Outcome ◽  
Canal System ◽  
Root Canals ◽  
Root Canal Morphology ◽  
Root Canal System ◽  
Mandibular First Molar ◽  
Canal Morphology

A thorough knowledge and understanding of the root canal morphology including the variations is important for the successful outcome of endodontic treatment. The success of an endodontic treatment depends on the eradication of microbes from the root-canal system and prevention of re-infection [1] . The variations in mandibular first molar involves the number of roots, the number of root canals, and morphology. Radix entomolaris and the radix paramolaris are the additional root located lingually and buccally respectively [2] . This case report discusses endodontic treatment of a mandibular first molar with a radix entomolaris and pulp stone.

Retrieval of fractured Endodontic Instrument under dental operating microscope using ultrasonic tips : A Case Report

2020 ◽  
Vol 11 (3) ◽  
pp. 3316-3321
Author(s):  
Samrudhi Khatod ◽  
Anuja Ikhar ◽  
Pradnya Nikhade ◽  
Manoj chandak
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Fracture Resistance ◽  
Root Canal Treatment ◽  
Operating Microscope ◽  
Severe Loss ◽  
Mechanical Procedure ◽  
Root Dentin ◽  
Fracture Level

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.

scholarly journals APEXIFICATION WITH BIODENTINE - A CASE REPORT

2013 ◽  
Vol 5 (2) ◽  
pp. 3-5
Author(s):  
R.S. Bassvanna ◽  
Chitra Gohil
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Clinical Scenario ◽  
Root Canal Obturation ◽  
Single Visit ◽  
Dental Practitioners ◽  
New Material ◽  
Open Apices

ABSTRACT Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.

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