Report of Two Cases of Maxillary First Molar with Altered Root Canal Configuration Evaluated Using Cone-beam Computed Tomography Scanning.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
The success of the endodontic treatment depends on instrumentation and obturation of all the canals present in the involved tooth. We report two cases presented to the Government Dental College, Kozhikode, Kerala, India with pain in the left maxillary first molar. After diagnosis, root canal treatment was started. The access cavity was opened and the canals were negotiated under a Dental Operating Microscope (DOM). Mesiobuccal, Distobuccal and Palatal roots of maxillary first molar with three, two and single canals were found. This variation in the canal anatomy was confirmed with Cone-Beam Computed Tomography (CBCT) scanning. The root canals were instrumented and obturation was done with a permanent restoration. This case report discuss the importance of proper knowledge of the canal morphology, a diagnostic imaging with the three-dimensional image (CBCT) and the importance of magnification (DOM) in the management of maxillary molar with a varied root canal configuration.
Authors and Affiliations
Gokulraj R, Jayasree S, Nadira K Rahman, Muhammed Abdul Rahman
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