Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone-beam computed tomography scanning: a case report |
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Authors: | Kottoor Jojo Velmurugan Natanasabapathy Surendran Smitha |
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Institution: | Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Chennai Tamil Nadu, India |
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Abstract: | IntroductionRoot canal treatment of maxillary molars presenting with complex root canal configurations can be diagnostically and technically challenging.MethodsNonsurgical endodontic therapy of a left maxillary first molar with three roots and eight root canals was successfully performed. This unusual morphology was diagnosed using a dental operating microscope (DOM) and confirmed with the help of cone-beam computed tomography (CBCT) images.ResultsCBCT axial images showed that both the mesiobuccal and distobuccal root contained a Sert and Bayirli type XV canal, whereas the palatal root showed a Vertucci type II canal configuration.ConclusionsThe use of a DOM and CBCT imaging in endodontically challenging cases can facilitate a better understanding of the complex root canal anatomy, which ultimately enables the clinician to explore the root canal system and clean, shape, and obturate it more efficiently. |
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Keywords: | Cone-beam computed tomography scanning maxillary first molar root canal anatomy root canals |
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