Endodontic treatment of a maxillary first molar having three mesiobuccal canals: a case report
Abstract
Aim: The objective of this case report is to present a successful root canal treatment of a maxillary first molar having three mesiobuccal canals with separate orifices.
Case presentation: An 18 year old female patient was admitted to our clinic, complaining from severe pain. We observed during the clinical examination that root canal treatment of the maxillary right first molar was already initiated. The tooth was percussion sensitive, cold and heat sensitive, although there was no referred pain. A broken endodontic instrument in the disto-buccal root canal was found during the radiographic examination. After extensive clinical and radiographic examination tooth was prepared for nonsurgical endodontic treatment. Starting the endodontic treatment, it was observed the presence of two canals orifices in the buccomesial root with no preparation. Though we failed to remove the fracture for the endodontic instrument, the instrument was bypassed. Root canals were obturated with guttapercha and sealer. The tooth was restored with composite resin.
Conclusion: Recall examination as far as 6 months post-treatment found no sensitivity to percussion or palpation and recall radiography after treatment show no evidence of any periradicular lesion.
Keywords
References
- Weine FS. Nonsurgical re-treatment of endodontic failures. Compend Contin Educ Dent 1995;16:324, 326-335; quiz 335.
- al-Nazhan S. Incidence of four canals in root-canal-treated mandibular first molars in a Saudi Arabian sub-population. Int Endod J 1999;32:49-52.
- Ulusoy OI, Görgül G. Endodontic treatment of a maxillary second molar with 2 palatal roots: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:e95-97.
- Barbizam JV, Ribeiro RG, Tanomaru Filho M. Unusual anatomy of permanent maxillary molars. J Endod 2004;30:668-671.
- Cleghorn BM, Christie WH, Dong CC. Root and root canal morphology of the human permanent maxillary first molar: a literature review. J Endod 2006;32:813-821.
- Imura N, Hata GI, Toda T, Otani SM, Fagundes MI. Two canals in mesiobuccal roots of maxillary molars. Int Endod J 1998;31:410-414.
- Buhrley LJ, Barrows MJ, BeGole EA, Wenckus CS. Effect of magnification on locating the MB2 canal in maxillary molars. J Endod 2002;28:324-327.
- Garg AK, Tewari RK, Kumar A, Agrawal N. Endodontic treatment of a maxillary first molar having three mesiobuccal canals with the aid of spiral computed tomography: a case report. J Oral Sci;52:495-499.
Details
Primary Language
Turkish
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
April 24, 2015
Submission Date
July 11, 2012
Acceptance Date
-
Published in Issue
Year 1970 Volume: 18 Number: 2