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

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&#...

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Detalles Bibliográficos
Autores principales: de Paula, Adrianne Freire, Brito-Júnior, Manoel, Quintino, Alex Carvalho, Camilo, Carla Cristina, Cruz-Filho, Antônio Miranda, Sousa-Neto, Manoel Damião
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639676/
https://www.ncbi.nlm.nih.gov/pubmed/23662215
http://dx.doi.org/10.1155/2013/891849
Descripción
Sumario: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.

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