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Endodontic treatment of a continuous C-shaped maxillary first molar with independent four canals identified by using cone-beam computed tomography

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초록

The presence of untreated canals is a wellknown cause of endodontic failure after treatment1). Hence, for a successful endodontic treatment, a thorough understanding of the root canal morphology is very important. During the clinical procedure, however, unexpected anatomic variations can be encountered, one of which is a C-shaped root canal usually found in the mandibular second molars. This morphological variation also has been reported to be in the maxillary first molars, with the reported incidence of this rare anatomy being as low as 0.09%. With developing armamentarium such as conebeam computed tomography (CBCT) and dental operative microscope (DOM), they became a valuable tool for canal identification, especially in complex canal morphology. This report describes a rare C-shaped variation in a maxillary first molar which was identified by CBCT and treated by non-surgical root canal treatment.

Abstract

The presence of untreated canals is a wellknown cause of endodontic failure after treatment1). Hence, for a successful endodontic treatment, a thorough understanding of the root canal morphology is very important. During the clinical procedure, however, unexpected anatomic variations can be encountered, one of which is a C-shaped root canal usually found in the mandibular second molars. This morphological variation also has been reported to be in the maxillary first molars, with the reported incidence of this rare anatomy being as low as 0.09%. With developing armamentarium such as conebeam computed tomography (CBCT) and dental operative microscope (DOM), they became a valuable tool for canal identification, especially in complex canal morphology. This report describes a rare C-shaped variation in a maxillary first molar which was identified by CBCT and treated by non-surgical root canal treatment.

참고문헌 (11)

  1. Song M, "Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery", J Endod, 37, pp.1516~1519 (2011)
  2. Fan B, "C-shaped canal system in mandibular second molars: Part I - Anatomical features", J Endod, 30, pp.899~903 (2004)
  3. Min Y, "Cshaped canal system in mandibular second molars part III The morphology of the pulpchamber", J Endod, 32, pp.1155~1159 (2006)
  4. Newton CW, "A C-shaped canal configuration in a maxillary first molar", J Endod, 10, pp.397~399 (1984)
  5. De MR, "C-shaped root canal configuration in maxillary first molar", Int Endod J, 35, pp.300~308 (2002)
  6. La SH, "Identification of independent middle mesial canal in mandibular first molar using cone-beam computed tomography imaging", J Endod, 36, pp.542~545 (2010)
  7. Jorge NRM, "Cshaped maxillary permanent first molar: A case report and literature review", J Endod, 39, pp.1649~1653 (2013)
  8. Lorena Karanxha, "Endodontic management of a C-shaped maxillary first molar with three independent buccal root canals by using cone-beam computed tomography", Restorative Dentistry and Endodontics, 37(3), pp.175~179 (2012), 대한치과보존학회[DOI]
  9. Sara I, "Bleeding disorders: Characterization, dental considerations and management", J Can Dent Assoc, 72, pp.827~827 (2006)
  10. Patel S, "New dimensions in endodontic imaging: part 1. Conventional and alternative radiographic systems", Int Endod J, 42, pp.447~462 (2009)
  11. Tetradis S, "Cone beam computed tomography in the diagnosis of dental disease", Tex Dent J, 128, pp.620~628 (2011)

관련 논문AI추천

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