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Lower First Permanent Molar with an Additional Root Diagnosis and Management.
1Department of Restorative Dental Science, Division of Endodontics, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia.
Case Reports in Dentistry
|January 15, 2020
Summary
A rare three-rooted lower first molar was successfully treated using advanced endodontic techniques. Early diagnosis and understanding root anatomy are crucial for effective root canal therapy in complex cases.
Area of Science:
- Dentistry
- Endodontics
- Dental Anatomy
Background:
- Three-rooted lower first molars are uncommon anatomical variations posing significant clinical challenges.
- Successful endodontic treatment requires precise diagnosis and management of complex root canal anatomy.
Observation:
- A case report details the diagnosis and successful endodontic management of a lower first molar (Tooth #46) with three roots.
- The tooth presented with necrotic pulp and symptomatic apical periodontitis, confirmed by radiographs revealing the unusual root configuration.
Findings:
- The endodontic procedure utilized an operating microscope for enhanced visualization and magnification.
- Modified access cavity preparation ensured straight-line access to all canals.
- Instrumentation was performed using flexible Nickel-Titanium (NiTi) rotary files, followed by irrigation with 6% sodium hypochlorite.
- Three-dimensional obturation was achieved using warm vertical compaction.
Implications:
- This case highlights the importance of recognizing and diagnosing anatomical variations like three-rooted molars.
- Advanced endodontic techniques, including magnification and specialized instrumentation, are vital for successful treatment outcomes.
- A thorough understanding of dental anatomy is fundamental for clinicians performing high-quality root canal treatments.
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