Endodontic Therapy of Maxillary Third Molar with Supernumerary Root with Four Root Canals-A Rare Case
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 4
Abstract
Success of endodontic therapy is multi factorial. Starting from good case selection, proper treatment, thorough cleaning and shaping, fluid tight obturation and good seal achieved by post endodontic restoration. One of the reasons for failure of root canal therapy is complex internal anatomy of the teeth which is non-negotiable through orthograde approach. Thorough knowledge of the internal anatomy and its variations is very important to provide the best treatment for the patient. Clinician has to face challenges if there are fused canals, calcified canals, Radix entomolaris, taurodontism and most commonly presence of additional canals. Maxillary third molar is one such tooth where root canal therapy is very difficult to perform not only because of its location in the arch but also due to its varied internal anatomy. The present paper describes variation in the internal anatomy of a maxillary 3rd molar with additional canal and also the importance of magnification in endodontic. The presence of a missed canal in the course of root canal treatment is one of the common reasons for failure of therapy. The consequence of a missed canal will or may lead to chronic infection and post operative flare ups. Hence, it is very important to explore the morphology of the tooth as well its internal anatomy to overcome failure in endodontic practice.
Authors and Affiliations
M Kundabala, P Vishnu Unni
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