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.
- Çalışkan MK, Pehlivan Y, Sepetçioğlu F, Türkün M, Tuncer SS. Root canal morphology of human permanent teeth in a Turkish population. J Endod 1995;21:200-204.
- Sert S, Bayırlı GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 2004;30:391-398.
- Sert S, Bayırlı G. Taurodontism in six molars: a case report. J Endod 2004;30:601-602.
- Ayrancı LB, Arslan H, Topcuoğlu HS. Maxillary first Molar with three canal orifices in MesioBuccal root. J Conserv Dent 2011;14:436-437.
Abstract
Amaç: Bu olgu raporunun amacı, ayrı kanal ağızları bulunan üç meziyobukkal kanallı bir maksiller birinci büyük azı dişinin başarılı endodontik tedavisini sunmaktır.
Olgu bildirimi: 18 yaşında bayan hasta, şiddetli ağrı şikâyetleriyle kliniğimize başvurdu. Klinik muayenede 16 numaralı dişin kök kanal tedavisine daha önce başlanıldığı gözlendi. Diş perküsyona, soğuğa ve sıcağa karşı duyarlılık gösteriyordu. Radyografik muayenede distobukkal kök kanalında kırık bir endodontik alet tespit edildi. Derinlemesine kliniksel ve radyolojik muayeneden sonra diş endodontik tedaviye alındı. Başlayan endodontik tedavi ile dişte hiç preparasyon yapılmamış iki meziyobukkal kanal ağzı varlığı görüldü. Endodontik alet kırığı kanaldan çıkarılamasa da aletin yanından geçilerek apikal daralıma ulaşıldı. Kök kanalları gutta percha ve sealer ile dolduruldu. Diş kompozit rezin ile restore edildi.
Sonuç: Tedaviden 6 ay sonraki takip randevusunda perküsyon ve palpasyon hassasiyeti olmadığı gözlendi ve bu randevuda alınan takip radyografisi herhangi bir periradiküler lezyon varlığını göstermedi.
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.
- Çalışkan MK, Pehlivan Y, Sepetçioğlu F, Türkün M, Tuncer SS. Root canal morphology of human permanent teeth in a Turkish population. J Endod 1995;21:200-204.
- Sert S, Bayırlı GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 2004;30:391-398.
- Sert S, Bayırlı G. Taurodontism in six molars: a case report. J Endod 2004;30:601-602.
- Ayrancı LB, Arslan H, Topcuoğlu HS. Maxillary first Molar with three canal orifices in MesioBuccal root. J Conserv Dent 2011;14:436-437.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | April 24, 2015 |
| Submission Date | July 11, 2012 |
| Published in Issue | Year 2015Volume: 18 Issue: 2 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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