Endodontic Management of an Unusual Maxillary First Molar with a Single Buccal Root
Gurudutt Nayak, Surya Dahiya, Inderpreet Singh, Faiz Hasan Mohammad
Citation Information :
Nayak G, Dahiya S, Singh I, Mohammad FH. Endodontic Management of an Unusual Maxillary First Molar with a Single Buccal Root. J Contemp Dent Pract 2014; 15 (3):367-371.
The aim of this clinical article is to describe the unusual anatomy that was detected in a maxillary first molar during routine endodontic treatment.
Background
Variation in root and root canal morphology especially in multirooted teeth presents a constant challenge for a clinician in their detection and management. The literature is replete with cases that have extra canal or root but cases with fused root and fewer numbers of canals are sparse.
Case description
This case report describes the endodontic management of one such unusual case of maxillary first molar presenting with a single fused buccal and a palatal root. The confirmatory diagnosis of this morphologic aberration was done with the help of spiral computerized tomography, which revealed that the contralateral tooth also had a similar morphology.
Conclusion
Dental practitioners should always be aware of the fact that abnormalities need not be in form of extra roots or root canals; anomalies can also be in form of fewer number of roots or root canals.
Clinical significance
A thorough knowledge of the complexities and variations of the root canal system would help in avoiding some of the common iatrogenic access opening errors like perforations and excessive tooth removal caused during the search for the missing or extracanal.
How to cite this article
Nayak G, Dahiya S, Singh I, Mohammad FH. Endodontic Management of an Unusual Maxillary First Molar with a Single Buccal Root. J Contemp Dent Pract 2014;15(3):367-371.
Tooth Morphology and access openings. In: Cohen S, Burns RC, editors. Part One: The art of endodontics in pathway of pulp. 6th ed. St Louis: Mosby; 1987;pp. 148.
Root and root canal morphology of the human permanent maxillary first molar: a literature review. J Endod 2006;32(9):813-821.
Cone-beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population. J Endod 2010;36(10):1622-1627.
Root and canal morphology of Thai maxillary molars. Int Endod J 2002;35(5):478-485.
Root and canal morphology of Burmese maxillary molars. Int Endod J 2001;34(8):620-630.
Root canal anatomy of maxillary first and second permanent molars. Int Endod J 2000;33(5):405-414.
Root canal morphology of maxillary permanent first molar teeth at various ages. Int Endod J 1993;26(5):257-267.
The maxillary first molar. In: Bjorndal AM, Skidmore AE, editors Anatomy and morphology of permanent teeth. Iowa City: University of Iowa College of Dentistry; 1983.
The internal anatomy of the teeth with special reference to the pulp and its branches. Dent Cosmos 1925;67(6):581-592.
Applicability of X-ray Computerised tomography in endodontics. Endod Dent Traumatol 1990;6(1):16-20.
Radiographic aids in the detection of extra root canals. Oral Surg Oral Med Oral Pathol 1974;37(5):762-772.
Bilateral root or root canal aberrations in a dental school patient population. J Endod 1994;20(1):38-42.
The morphology of root fusion in Chinese adults (I). Grades, types, location and distribution. J Clin Periodontol 1994;21(4):260-264.
Morphologic study of the maxillary molars. External anatomy. Part I: External Anatomy. Braz Dent J 1991;2(1):45-50.
The root and root canal anatomy of maxillary molars in a Chinese population. Endod Dent Traumatol 1988;4(5):215-218.
Root fusion in molars: incidence and sex linkage. J Periodontol 1981;52(11):663-667.
Some unusual clinical cases on root anatomy of permanent maxillary molars. J Endod 1997;23(2):127-128.
Root canal treatment in an unusual maxillary first molar: a case report. Int Endod J 2001;34(8):649-653.
Endodontic management of a maxillary first molar with two palatal roots and a single fused buccal root diagnosed with spiral computed tomography -a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(4):e74-e78.
Root canal treatment in an unusual maxillary first molar diagnosed with the aid of spiral computerized tomography and in vitro sectioning: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107(6):e68–e73.
