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Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography
Variation in root canal morphology, especially in maxillary first molar presents a constant challenge for a clinician in their detection and management. This case report describes the successful root canal treatment of a three rooted right maxillary first molar presenting with three canals each in t...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Conservative Dentistry
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4534730/ https://www.ncbi.nlm.nih.gov/pubmed/26295029 http://dx.doi.org/10.5395/rde.2015.40.3.241 |
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author | Nayak, Gurudutt Singh, Kamal Krishan Shekhar, Rhitu |
author_facet | Nayak, Gurudutt Singh, Kamal Krishan Shekhar, Rhitu |
author_sort | Nayak, Gurudutt |
collection | PubMed |
description | Variation in root canal morphology, especially in maxillary first molar presents a constant challenge for a clinician in their detection and management. This case report describes the successful root canal treatment of a three rooted right maxillary first molar presenting with three canals each in the mesiobuccal and distobuccal roots and one canal in the palatal root. The clinical detection of this morphologic aberration was made using a dental operating microscope, and the canal configuration was established after correlating and computing the clinical, radiographic and cone-beam computed tomography (CBCT) scan findings. CBCT images confirmed the configuration of the canals in the mesiobuccal and distobuccal roots to be Al-Qudah and Awawdeh type (3-2) and type (3-2-1), respectively, whereas the palatal root had a Vertucci type I canal pattern. This report reaffirms the importance of careful examination of the floor of the pulp chamber with a dental operating microscope and the use of multiangled preoperative radiographs along with advanced diagnostic aids such as CBCT in identification and successful management of aberrant canal morphologies. |
format | Online Article Text |
id | pubmed-4534730 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Academy of Conservative Dentistry |
record_format | MEDLINE/PubMed |
spelling | pubmed-45347302015-08-20 Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography Nayak, Gurudutt Singh, Kamal Krishan Shekhar, Rhitu Restor Dent Endod Case Report Variation in root canal morphology, especially in maxillary first molar presents a constant challenge for a clinician in their detection and management. This case report describes the successful root canal treatment of a three rooted right maxillary first molar presenting with three canals each in the mesiobuccal and distobuccal roots and one canal in the palatal root. The clinical detection of this morphologic aberration was made using a dental operating microscope, and the canal configuration was established after correlating and computing the clinical, radiographic and cone-beam computed tomography (CBCT) scan findings. CBCT images confirmed the configuration of the canals in the mesiobuccal and distobuccal roots to be Al-Qudah and Awawdeh type (3-2) and type (3-2-1), respectively, whereas the palatal root had a Vertucci type I canal pattern. This report reaffirms the importance of careful examination of the floor of the pulp chamber with a dental operating microscope and the use of multiangled preoperative radiographs along with advanced diagnostic aids such as CBCT in identification and successful management of aberrant canal morphologies. The Korean Academy of Conservative Dentistry 2015-08 2015-06-03 /pmc/articles/PMC4534730/ /pubmed/26295029 http://dx.doi.org/10.5395/rde.2015.40.3.241 Text en ©Copyrights 2015. The Korean Academy of Conservative Dentistry. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Nayak, Gurudutt Singh, Kamal Krishan Shekhar, Rhitu Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography |
title | Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography |
title_full | Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography |
title_fullStr | Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography |
title_full_unstemmed | Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography |
title_short | Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography |
title_sort | endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4534730/ https://www.ncbi.nlm.nih.gov/pubmed/26295029 http://dx.doi.org/10.5395/rde.2015.40.3.241 |
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