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Asymmetry in mesial root number and morphology in mandibular second molars: a case report
Gurudutt Nayak,Shashit Shetty,Rhitu Shekhar 대한치과보존학회 2014 Restorative Dentistry & Endodontics Vol.39 No.1
Ambiguity in the root morphology of the mandibular second molars is quite common. The most common root canal configuration is 2 roots and 3 canals, nonetheless otherpossibilities may still exist. The presence of accessory roots is an interesting exampleof anatomic root variation. While the presence of radix entomolaris or radix paramolarisis regarded as a typical clinical finding of a three-rooted mandibular second permanentmolar, the occurrence of an additional mesial root is rather uncommon and representsa possibility of deviation from the regular norms. This case report describes successfulendodontic management of a three-rooted mandibular second molar presenting withan unusual accessory mesial root, which was identified with the aid of multiangledradiographs and cone-beam computed tomography imaging. This article also discussesthe prevalence, etiology, morphological variations, clinical approach to diagnosis, andsignificance of supernumerary roots in contemporary clinical dentistry.
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Nayak, Gurudutt,Singh, Kamal Krishan,Shekhar, Rhitu The Korean Academy of Conservative Dentistry 2015 Restorative Dentistry & Endodontics Vol.40 No.3
Variation in root canal morphology, especially in maxillary first molar presents a constant challenge for a clinician in their detection and management. This case report describes the successful root canal treatment of a three rooted right maxillary first molar presenting with three canals each in the mesiobuccal and distobuccal roots and one canal in the palatal root. The clinical detection of this morphologic aberration was made using a dental operating microscope, and the canal configuration was established after correlating and computing the clinical, radiographic and cone-beam computed tomography (CBCT) scan findings. CBCT images confirmed the configuration of the canals in the mesiobuccal and distobuccal roots to be Al-Qudah and Awawdeh type (3-2) and type (3-2-1), respectively, whereas the palatal root had a Vertucci type I canal pattern. This report reaffirms the importance of careful examination of the floor of the pulp chamber with a dental operating microscope and the use of multiangled preoperative radiographs along with advanced diagnostic aids such as CBCT in identification and successful management of aberrant canal morphologies.
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Gurudutt Nayak,Kamal Krishan Singh,Rhitu Shekhar 대한치과보존학회 2015 Restorative Dentistry & Endodontics Vol.40 No.3
Variation in root canal morphology, especially in maxillary first molar presents a constant challenge for a clinician in their detection and management. This case report describes the successful root canal treatment of a three rooted right maxillary first molar presenting with three canals each in the mesiobuccal and distobuccal roots and one canal in the palatal root. The clinical detection of this morphologic aberration was made using a dental operating microscope, and the canal configuration was established after correlating and computing the clinical, radiographic and cone-beam computed tomography (CBCT) scan findings. CBCT images confirmed the configuration of the canals in the mesiobuccal and distobuccal roots to be Al-Qudah and Awawdeh type (3-2) and type (3-2-1), respectively, whereas the palatal root had a Vertucci type I canal pattern. This report reaffirms the importance of careful examination of the floor of the pulp chamber with a dental operating microscope and the use of multiangled preoperative radiographs along with advanced diagnostic aids such as CBCT in identification and successful management of aberrant canal morphologies.
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Asymmetry in mesial root number and morphology in mandibular second molars: a case report
Nayak, Gurudutt,Shetty, Shashit,Shekhar, Rhitu The Korean Academy of Conservative Dentistry 2014 Restorative Dentistry & Endodontics Vol.39 No.1
Ambiguity in the root morphology of the mandibular second molars is quite common. The most common root canal configuration is 2 roots and 3 canals, nonetheless other possibilities may still exist. The presence of accessory roots is an interesting example of anatomic root variation. While the presence of radix entomolaris or radix paramolaris is regarded as a typical clinical finding of a three-rooted mandibular second permanent molar, the occurrence of an additional mesial root is rather uncommon and represents a possibility of deviation from the regular norms. This case report describes successful endodontic management of a three-rooted mandibular second molar presenting with an unusual accessory mesial root, which was identified with the aid of multiangled radiographs and cone-beam computed tomography imaging. This article also discusses the prevalence, etiology, morphological variations, clinical approach to diagnosis, and significance of supernumerary roots in contemporary clinical dentistry.
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