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Lower First Permanent Molar with an Additional Root Diagnosis and Management
Three rooted lower first permanent molar represents one of the main anatomical variants which is a treatment challenge of clinicians. This study is aimed at presenting a case of a lower first molar with an additional root that was diagnosed and managed successfully using new techniques in endodontic...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942775/ https://www.ncbi.nlm.nih.gov/pubmed/31934465 http://dx.doi.org/10.1155/2019/8403140 |
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author | Riyahi, Abdullah Mahmoud |
author_facet | Riyahi, Abdullah Mahmoud |
author_sort | Riyahi, Abdullah Mahmoud |
collection | PubMed |
description | Three rooted lower first permanent molar represents one of the main anatomical variants which is a treatment challenge of clinicians. This study is aimed at presenting a case of a lower first molar with an additional root that was diagnosed and managed successfully using new techniques in endodontics. Tooth #46 was diagnosed as a necrotic pulp with symptomatic apical periodontitis. Different angle radiographs were obtained, and they clearly showed three roots. The procedure was completed under magnification and illumination using an operating microscope. The access cavity was modified to achieve straight line access for all the canals. Careful step-by-step instrumentation was performed using flexible NiTi rotary files. The canals were irrigated using 6% sodium hypochlorite. Afterwards, three-dimensional obturation was completed using warm vertical compaction. Knowledge of the anatomy and an early diagnosis are required to achieve high-quality root canal treatment. |
format | Online Article Text |
id | pubmed-6942775 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-69427752020-01-13 Lower First Permanent Molar with an Additional Root Diagnosis and Management Riyahi, Abdullah Mahmoud Case Rep Dent Case Report Three rooted lower first permanent molar represents one of the main anatomical variants which is a treatment challenge of clinicians. This study is aimed at presenting a case of a lower first molar with an additional root that was diagnosed and managed successfully using new techniques in endodontics. Tooth #46 was diagnosed as a necrotic pulp with symptomatic apical periodontitis. Different angle radiographs were obtained, and they clearly showed three roots. The procedure was completed under magnification and illumination using an operating microscope. The access cavity was modified to achieve straight line access for all the canals. Careful step-by-step instrumentation was performed using flexible NiTi rotary files. The canals were irrigated using 6% sodium hypochlorite. Afterwards, three-dimensional obturation was completed using warm vertical compaction. Knowledge of the anatomy and an early diagnosis are required to achieve high-quality root canal treatment. Hindawi 2019-12-23 /pmc/articles/PMC6942775/ /pubmed/31934465 http://dx.doi.org/10.1155/2019/8403140 Text en Copyright © 2019 Abdullah Mahmoud Riyahi. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Riyahi, Abdullah Mahmoud Lower First Permanent Molar with an Additional Root Diagnosis and Management |
title | Lower First Permanent Molar with an Additional Root Diagnosis and Management |
title_full | Lower First Permanent Molar with an Additional Root Diagnosis and Management |
title_fullStr | Lower First Permanent Molar with an Additional Root Diagnosis and Management |
title_full_unstemmed | Lower First Permanent Molar with an Additional Root Diagnosis and Management |
title_short | Lower First Permanent Molar with an Additional Root Diagnosis and Management |
title_sort | lower first permanent molar with an additional root diagnosis and management |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942775/ https://www.ncbi.nlm.nih.gov/pubmed/31934465 http://dx.doi.org/10.1155/2019/8403140 |
work_keys_str_mv | AT riyahiabdullahmahmoud lowerfirstpermanentmolarwithanadditionalrootdiagnosisandmanagement |