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Updated: Feb 2, 2026
04:11
Author Spotlight: Insights into an Efficient Murine Maxillary Orthodontic Model Protocol
Published on: October 27, 2023
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Management of maxillary first molar with six canals using operating microscope.
K V Kishan1, Devika Das2, Naveen Chhabra1
1Department of Conservative Dentistry and Endodontics, KMSDCH, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
Summary
Understanding complex root canal anatomy is vital. This case report details a rare maxillary first molar with six canals, emphasizing the role of advanced imaging and microscopy in successful endodontic treatment.
Area of Science:
- Endodontics
- Dental Anatomy
Background:
- Thorough knowledge of root canal morphology is crucial for successful endodontic therapy.
- Variations in root canal anatomy can complicate diagnosis and treatment.
- Maxillary first molars often present complex root canal systems.
Observation:
- This case report details an unusual root canal anatomy in a maxillary first molar.
- The observed anatomy included three mesiobuccal (MB) canals, two palatal canals, and one distobuccal canal.
- The use of a surgical operating microscope and digital radiography was instrumental in identifying these variations.
Findings:
- The mesiobuccal (MB) root exhibited Type 3-1 canal morphology according to Gulabivala's classification.
- The palatal canal system demonstrated Vertucci's Type II canal morphology.
- The identification of these multiple canals required meticulous examination and advanced diagnostic tools.
Implications:
- This case underscores the importance of recognizing and managing complex root canal anatomy.
- Advanced technologies like surgical operating microscopes aid in the detection and negotiation of rare canal configurations.
- Accurate diagnosis and treatment of such variations are essential for predictable endodontic outcomes.
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