Endodontic management of two palatal roots in maxillary first molars- A case series
Endodontic management of two palatal roots in maxillary first molars- A case series
Keywords:
Cone-beam computed tomography, Dental operating microscope, Maxillary first molar, Palatal roots.
Abstract
The present case series highlights the endodontic management of four rooted maxillary first molars with two palatal roots and two buccal root canals, with a one-year follow-up. The diagnosis of root and root canal configuration was confirmed using cone-beam computed tomography (CBCT), and the management of the additional second palatal canal was performed under the dental operating microscope. The prevalence of maxillary first molars with two palatal roots is extremely rare, with a global occurrence rate of only 0.047%. Therefore, awareness of such uncommon anatomical variations and familiarity with the latest technologies is crucial for accurate diagnosis and to improve the success rate of root canal treatments.
References
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10. Baratto-Filho F, Fariniuk LF, Ferreira EL, Pecora JD, Cruz-Filho AM, Sousa-Neto MD. Clinical and macroscopic study of maxillary molars with two palatal roots. Int Endod J. 2002;35(9):796-801.
11. Versiani MA, Pécora JD, de Sousa-Neto MD. Root and root canal morphology of four-rooted maxillary second molars: a micro-computed tomography study. J Endod. 2012 ;38(7):977-82.
12. Magnucki G, Mietling SVK. Four-Rooted Maxillary First Molars: A Systematic Review and Meta-Analysis. Int J Dent. 2021 20;2021:8845442.
13. Thanvi. C, Raisingani. D, A.B. Prasaad, Gattani. S. Endodontic management of maxillary first molar with two palatal canals. Univ J Dent Sciences.2020;6(2):90-3
2. Ingle JI, Bakland LK, Baumgartner JC, editors. Ingle's Endodontics. 6th ed. Hamilton, ON: BC Decker Inc.; 2008.
3. Barbizam JV, Ribeiro RG, Tanomaru Filho M. Unusual anatomy of permanent maxillary molars. J Endod. 2004;30(9):668-71.
4. Shahi S, Yavari HR, Rahimi S, Ahmadi A. Root canal configuration of maxillary first permanent molars in an Iranian population. J Dent Res Dent Clin Dent Prospects. 2007 Spring;1(1):1-5.
5. Zheng QH, Wang Y, Zhou XD, Wang Q, Zheng GN, Huang DM. A cone-beam computed tomography study of maxillary first permanent molar root and canal morphology in a Chinese population. J Endod. 2010;36(9):1480-4.
6. Slowey RR. Radiographic aids in the detection of extra root canals. Oral Surg Oral Med Oral Pathol. 1974;37(5):762-72.
7. Stone LH, Stroner WF. Maxillary molars demonstrating more than one palatal root canal. Oral Surg Oral Med Oral Pathol. 1981;51(6):649-52.
8. Shah DY, Jadhav GR. Endodontic management of a maxillary molar with formation supradentalis: A case report. J Conserv Dent. 2014;17(5):481-2
9. Christie WH, Peikoff MD, Fogel HM. Maxillary molars with two palatal roots: a retrospective clinical study. J Endod. 1991;17(2):80-4.
10. Baratto-Filho F, Fariniuk LF, Ferreira EL, Pecora JD, Cruz-Filho AM, Sousa-Neto MD. Clinical and macroscopic study of maxillary molars with two palatal roots. Int Endod J. 2002;35(9):796-801.
11. Versiani MA, Pécora JD, de Sousa-Neto MD. Root and root canal morphology of four-rooted maxillary second molars: a micro-computed tomography study. J Endod. 2012 ;38(7):977-82.
12. Magnucki G, Mietling SVK. Four-Rooted Maxillary First Molars: A Systematic Review and Meta-Analysis. Int J Dent. 2021 20;2021:8845442.
13. Thanvi. C, Raisingani. D, A.B. Prasaad, Gattani. S. Endodontic management of maxillary first molar with two palatal canals. Univ J Dent Sciences.2020;6(2):90-3
Published
2024-07-25
How to Cite
Dr Vaishali Moryani, Dr Ashwini B Prasad, Dr Deepak Raisingani, & Dr Charu Thanvi. (2024). Endodontic management of two palatal roots in maxillary first molars- A case series. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 10(3). https://doi.org/10.21276/ujds.2024.10.3.8
Section
Case Reports
