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A clinical case concerning an extraordinary maxillary second molar having two separate palatal roots
Aishwarya A Kottur1, Abdul Mujeeb1, Niher Tabassum Siddiqua Snigdha2
1Department of Conservative Dentistry and Endodontics S.J.M Dental College And Hospital Chitradurga Karnataka India.
Clinical Case Reports
|May 8, 2024
Summary
Locating all root canals is crucial for successful endodontic therapy. This study used cone-beam computed tomography (CBCT) to reveal complex root canal anatomy in maxillary second molars, aiding treatment planning.
Area of Science:
- Endodontics
- Dental Anatomy
- Radiology
Background:
- Root canal therapy aims to completely clean, shape, and obturate all root canals for a fluid-tight seal.
- Failure to identify and treat all canals, particularly in multi-rooted teeth, often leads to endodontic treatment failure.
- Understanding root and canal morphology variations is essential for successful endodontic procedures.
Observation:
- This study investigated the root and canal morphology of maxillary second molars.
- An operative microscope was used to examine the root canal system.
- Cone-beam computed tomography (CBCT) was employed to verify the observed anatomy.
Findings:
- Cone-beam computed tomography (CBCT) imaging revealed that the examined maxillary second molars possessed two distinct palatal roots and canals, along with two separate buccal roots and canals.
- Significant morphological variations were observed in the root pattern and canal structure.
Implications:
- Accurate identification of complex root canal anatomy, such as that found in maxillary second molars, is critical for effective root canal treatment.
- Advanced imaging techniques like CBCT are vital for diagnosing and understanding root canal system variations.
- Detailed knowledge of dental anatomy aids clinicians in achieving successful endodontic outcomes and preventing treatment failure.
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