SIX CANALLED MAXILLARY FIRST MOLARS. A CASE REPORT

Authors

  • Ruchika Gupta Dewan MDS, Professor, Dept. Of Conservative Dentistry and Endodontics, I.T.S. Dental College, Hospitals and Research Centre, 47, Knowledge Park III, Greater Noida, UP
  • Anchal Aggarwal Student, Dept. of Conservative Dentistry and Endodontics, I.T.S. Dental College, Hospitals and Research Centre, 47, Knowledge Park III, Greater Noida, UP
  • Mandira Gulati Student, Dept. of Conservative Dentistry and Endodontics, I.T.S. Dental College, Hospitals and Research Centre, 47, Knowledge Park III, Greater Noida, UP
  • Unnavi Chauhan Student, Dept. of Conservative Dentistry and Endodontics, I.T.S. Dental College, Hospitals and Research Centre, 47, Knowledge Park III, Greater Noida, UP

DOI:

https://doi.org/10.32553/ijmsdr.v4i11.713

Keywords:

maxillary  molar, six  canals, altered anatomy

Abstract

Aim:  This  Case  Report  describes  two  rare  cases  of  clinical  management of  maxillary  first  molars  with  six  root  canals  with  special  reference  to  radiographic  interpretation  and  diagnosis.

Background:  The  study  reports  2 clinical  cases  of  endodontic  treatment  of maxillary  first  molars    with    six    root  canals. 

 

Case Description: The  access  cavity  was  prepared  using  a  slow  speed  round  bur.  The  teeth  were    diagnosed    with  irreversible    pulpitis  and    then  anesthetized  for  an  endodontic  access  cavity    preparation.  Clinical  evaluation  of  the  internal  anatomy  revealed  3  principle  root  canal  systems:  mesiobuccal  (MB),  distobuccal  (DB),  and  palatal  in  each  tooth. The  working  length  was  determined  and  the radiographs  were  taken  for  all  the  roots  i.e  mesiobuccal,  distobuccal  and  palatal  separately  after  placing  instruments  in  each.  The  cleaning  and  shaping  was  performed  using  ProTaper  Universal  rotary  instruments.  Irrigation  between  each  instrument  was  done.  The  canals  were  dried  and  obturation  was  performed  using  cold lateral  compaction  of  gutta-percha  and  a  resin-based  sealer.  The  teeth  were  then  restored  with  a  posterior  composite  restoration.  The  patients  were  advised  a  full-coverage  crown.

 

Conclusion:  A  good  knowledge  of  tooth  morphology,  careful  interpretation  of  angled  radiographs,  proper  access  cavity  preparation  and  a  detailed  exploration  of  the  interior  of  the  tooth  is  needed  to  ensure  a  proper  endodontic  treatment.

Clinical Significance:  Prevalence of teeth with such  complex  internal  anatomy is a rare anomaly. However, a sound knowledge of the internal anatomy can aid in its adequate management.

 

Keywords:  maxillary  molar,  six  canals,  altered anatomy

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Published

2020-11-28

How to Cite

Dewan, R. G. ., Aggarwal, A. ., Gulati, M. ., & Chauhan, U. . (2020). SIX CANALLED MAXILLARY FIRST MOLARS. A CASE REPORT. International Journal of Medical Science And Diagnosis Research, 4(11). https://doi.org/10.32553/ijmsdr.v4i11.713

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