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Revista ADM Órgano Oficial de la Asociación Dental Mexicana

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Órgano Oficial de la Asociación Dental Mexicana
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2015, Number 6

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Rev ADM 2015; 72 (6)

Maxillary first molar with two canals in the distobuccal root: a bibliographic review and clinical case report

Siu DYG; Cruz TM, Flores CNE, Vázquez REM
Full text How to cite this article

Language: Spanish
References: 6
Page: 320-323
PDF size: 246.51 Kb.


Key words:

Maxillary first molar, anatomical variations, distobuccal canals.

ABSTRACT

The presence of two canals in the distobuccal root of a maxillary first molar is a rare anatomical variation of the canal systems. Investigators have shown multiple foramina, additional canals, furcations, deltas, intercanal connections, C-shaped canals, and accessory canals. This clinical case reports the clinical treatment of a maxillary first molar with two canals in the distobuccal root. We present a clinical case involving the presence of the two 2-1-type distobuccal canals. Manual instrumentation was performed using the crown-down technique with the aid of 25 mm K-flexofile files. The canals were filled using the lateral condensation technique and gutta-percha cones, FF and F accessory cones, and Sealapex cement. Following the treatment, the tooth was sealed with temporary cement and the patient was referred for final restoration. The aim of this paper is to examine the anatomical variations that can occur in the root canal system and the technologies that can be used to correctly identify the location of additional canals.


REFERENCES

  1. Vertucci F. Root canal morphology and its relationship to endodontic procedures. Endodon Top. 2005; 10: 29.

  2. Cleghorn B, Christie W, Dong C. Root and root canal morphology of the human permanent maxillary first molar: a literature review. J Endodon. 2006; 32 (9): 813-821.

  3. Sperber GH. The phylogeny and odontogeny of dental morphology. In: Sperber GH ed. From apes to angels. New York: Wiley-Liss; 1999. pp. 215-219.

  4. Bond JL, Hartwell G, Portell FR. Maxillary first molar with six canals. J Endodon. 1988; 14 (5): 258-260.

  5. Karthikeyan K, Mahalaxmi S. New nomenclature for extra canals based on four reported cases of maxillary first molars with six canals. J Endodon. 2010; 36 (6): 1073-1078.

  6. Kottoor J, Velmurugan N, Surendran S. Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone-beam computed tomography scanning: a case report. J Endodon. 2011; 37 (5): 715-719.




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Rev ADM. 2015;72