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Multiple root canals in the maxillary molar: an unusual case report
Yao Lin1,2, Yan Xiang1,2, Xiaoling Chen1,2
1Endodontics Department of Stomatological Hospital of Xiamen Medical College, Xiamen, 361008, China.
BMC Oral Health
|August 31, 2021
Summary
Utilizing a dental operating microscope (DOM) and cone-beam computed tomography (CBCT) is crucial for identifying extra root canals and diagnosing root canal variations. This approach ensures accurate treatment for complex dental cases.
Area of Science:
- Endodontics
- Dental Imaging
- Microscopic Dentistry
Background:
- Highlighting the significance of advanced imaging and magnification in endodontic diagnosis.
- Focusing on the detection of supernumerary canals and root canal morphological variations.
- Emphasizing the role of the dental operating microscope (DOM) and cone-beam computed tomography (CBCT) in modern endodontics.
Observation:
- A case study involving a 35-year-old female with persistent swelling in the upper right posterior maxilla.
- Evaluation of symptomatic apical periodontitis and mesotaurodontia in the upper right first and second permanent molars.
- Application of DOM and CBCT for diagnosis and subsequent root canal therapy.
Findings:
- Successful identification of supernumerary canals and root canal anomalies using DOM and CBCT.
- Accurate diagnosis of complex root canal morphology, including mesotaurodontism.
- Effective management of symptomatic apical periodontitis through advanced diagnostic tools.
Implications:
- Reinforces the necessity of thorough clinicoradiological examinations for clinicians.
- Underscores the importance of understanding rare root canal morphologies for effective treatment planning.
- Suggests that integrated use of DOM and CBCT improves diagnostic accuracy and treatment outcomes in endodontics.
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