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A rare root canal configuration of bilateral maxillary first molar with 7 root canals diagnosed using cone-beam
Gautam P Badole1, Manjusha M Warhadpande2, Pratima R Shenoi1
1Department of Conservative Dentistry and Endodontics, VSPM's Dental College and Research Center, Nagpur, India.
Introduction:
The complexity of the root canal system of maxillary molars presents a constant challenge in the diagnosis and treatment of these teeth. This case report describes the importance of a surgical operating microscope and cone-beam computed tomographic (CBCT) imaging.
Methods:
Root canal treatment of a left maxillary first molar with 3 roots and 7 canals was successfully performed. Seven canals were identified with the help of a surgical operating microscope and CBCT imaging. CBCT images also confirmed the 3 roots and 7 canals in the right maxillary first molar.
Results:
CBCT images confirmed a type IV canal pattern in the distal and palatal root, whereas the mesial root had a type VIII canal pattern.
Conclusions:
The use of a surgical operating microscope and CBCT imaging helps the clinician to diagnose unusual anatomy of a tooth and facilitate successful endodontic treatment.
