Endodontic Management of Varied Canal Morphologies In Maxillary First Molar - A Series of 4 Case Reports
Radiology is known for its diagnostic aspect of assessing dental pathosis since a century; however it is being used in the management of certain complex cases. It is being employed in all the fields of dentistry, endodontics in particular. The concept of nonsurgical management of root canal therapy is to eliminate the seed of infection causing destruction of tooth for which smoking out the canals is mandatory. Visualizing the three dimensional tooth in a two dimensional conventional image was so far accepted in the teeth displaying lesser disparities, but in teeth like permanent maxillary molar known for varied morphology require the need of an advanced imaging like Cone Beam Computed Tomography (CBCT). This case report describes a series of 4 cases with different forms and number of canals, configurations and unusual morphology where different access modifications, diagnostic methods and magnification were considered for the success of endodontic treatment.
Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: Part 1. Conventional and alternative radiographic systems. Int Endod J. 2009. June; 42 (6): 447–62.
Vertucci FJ, Haddix JE, Britto LR. Tooth morphology and access cavity preparation. In: Cohen S, Hargreaves KM, eds. 9th ed. Pathways of the pulp. St. Louis: Mosby Elsevier. 2006: 203.
H. M. Fogel, M. D. Peikoff, and W. H. Christie. Canal configuration in the mesiobuccal root of the maxillary first molar: a clinical study. J Endod. 1994. March; 20 (1) :135-7.
Martinez B and P. Ruiz B. Maxillary first molars with six canals. J Endod. 1983. September; 9 (9) :375–81.
P. Neelakantan, C. Subbarao, R. Ahuja, C. V. Subbarao, and J. L. Gutmann. Cone-beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population. J Endod. 2010. October; 36, (10) :1622–27.
Sert S, Bayırlı G. Taurodontism in six molars: A case report. J Endod. 2004. August; 30 (8) :601–2.
Yooseok S, Yemi K and Byoung-D R. Maxillary first molar with an O-shaped root morphology: report of a case. Int J Oral Sci. 2013. December; 5 (4): 242–44.
Verma P, Love RM. A micro CT study of the mesiobuccal root canal morphology of the maxillary first molar tooth. Int Endod J. 2011. March; 44 (3) :210–17.
Adanir N. An unusual maxillary first molar with four roots and six canals: a case report. Aust Dent J. 2007. December; 44 (3) :33–35.
Blaine M, William H. Christie, and Cecilia C.S. Dong. Root and Root Canal Morphology of the Human Permanent Maxillary First Molar: A Literature Review. J Endod.2006. September; 32 (9) :13-21.
Sert S, and Bayirli GS. Evaluation of the Root Canal Configurations of the Mandibular and Maxillary Permanent Teeth by Gender in the Turkish Population. J Endod. 2004. June; 30 (3) :391-8.
Baratto Filho F, Zaitter S, Haragushiku GA, de Campos EA, Abuabara A, Correr GM. Analysis of the internal anatomy of maxillary first molars by using different methods. J Endod. 2009. March; 35 (3) :337–4.
Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984. November; 55 (5) :589–99.
Durr DP, Campos CA, Ayers CS. Clinical significance of taurodontism. J Am Dent Assoc. 1980. March ;100 (3) :378–81.
William. C. S. Use of cone-beam computed tomography in endodontics Joint Position Statement of the American Association of Endodontists and the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011. February; 111 (2) :234–37.
Copyright (c) 2019 Frontiers in Dentistry
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.