A RARE PHENOMENON OF FOUR ROOTED FIVE CANAL MAXILLARY SECOND MOLAR: A CASE REPORT
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Keywords
Missed canal, Four rooted maxillary second molar, CBCT
Abstract
Root anatomy can vary in the number of roots and root canals. Anomalies such as extra roots and canals can be challenging to detect, leading to unsuccessful root canal treatment. The use of advanced imaging techniques such as CBCT, along with thorough examination and exploration of the pulp chamber during endodontic treatment, careful instrumentation, and irrigation, can lead to successful outcomes in cases with missed canals. In this case report, we present a case of re-treatment of a maxillary second molar with four roots and five canals with successful retreatment of a missed mesiobuccal canal and mesiopalatal root in a maxillary second molar.
References
2. Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod topics. 2005 Mar;10(1):3-29.
3. H. Libfeld and I. Rotstein, “Incidence of four-rooted maxillary second molars: literature review and radiographic survey of 1,200 teeth,” Journal of Endodontics, vol. 15, no. 3, pp. 129– 131, 1989.
4. Tabassum S, Khan FR. Failure of endodontic treatment: The usual suspects. Eur J Dent. 2016 Jan-Mar;10(1):144-147.
5. Nair PNR, Sjogren U, Krey G, et al. Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. J Endod. 1990;16:580–88
6. M P, Sahoo H. Cone Beam Computed Tomography-aided Endodontic Management of Second Maxillary Molar with Two Separate Palatal Roots: A Case Report. Cureus. 2020 Mar 20;12(3):e7347
7. Song M, Kim HC, Lee W, et al. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endod. 2011;37(11):1516-9.
8. Patel S, Dawood A, Whaites E, et al. New dimensions in endodontic imaging: part 2. Cone beam computed tomography. Int Endod J. 2009;42(6):463-75.
9. Neaverth EJ, Kotler LM, Kaltenbach RF. Clinical investigation (in vivo) of endodontically treated maxillary first molars. J Endod. 1987;13(10):506-12.
10. Christie WH, Peikoff MD, Fogel HM. Maxillary molars with two palatal roots: a retrospective clinical study. J Endod 1991;17(2):80–4.
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Krati Sahu
Post Graduate Student, Department of Conservative Dentistry and Endodontics, Pacific Dental College and Research Centre
Jitendra Lohar
Professor and Head, Department of Conservative Dentistry and Endodontics, Pacific Dental College and Research Centre
Rajvika Sharma
Post Graduate Student, Department of Conservative Dentistry and Endodontics, Pacific Dental College and Research Centre
Nehali Thakkar
Post Graduate Student, Department of Conservative Dentistry and Endodontics, Pacific Dental College and Research Centre