A Root Canal Therapy on the Maxillary First Molar Tooth with Five Canals: A Case Report

Erkan Erhan, Gundogar Mustafa^*

Department of Enodontic, Faculty of Dentistry, Istanbul Medipol University, Bagcilar, Istanbul.

DOI: 10.4236/ojst.2015.54015                

Abstract

Maxillary first molar usually exhibits a radicular anatomy of three roots and three or four canals. However, different anatomic variations like extra number of roots and canals are possible. For a successful treatment, clinicians must have well equipment and a thorough knowledge of the external and internal anatomy of teeth and its variation. Using of CBCT may help to locate extra canals by giving a chance to clinicians to see the root canal anatomy in 3-D view. The aim of this study was to present a case report about a diagnosis and treatment in maxillary first molar with three roots and five canals. It is concluded that the diagnosing and the treatment of unusual cases are key factors for successful endodontic treatment of these teeth.

Keywords

Root Canal Therapy, Maxillary First Molar, Anatomy

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Weller, R.N. and Hartwell, G.R. (1989) The Impact of Improved Access and Searching Techniques on Detection of the Mesiolingual Canal in Maxillary Molars. Journal of Endodontics, 15, 82-83. http://dx.doi.org/10.1016/S0099-2399(89)80114-1
[2]	Peikoff, M.D., Christie, W.H. and Fogel, H.M. (1996) The Maxillary Second Molar: Variations in the Number of Roots And Canals. International Endodontic Journal, 29, 365-369. http://dx.doi.org/10.1111/j.1365-2591.1996.tb01399.x
[3]	Christie, W.H., Peikoff, M.D. and Fogel, H.M. (1991) Maxillary Molars with Two Palatal Roots: A Retrospective Clinical Study. Journal of Endodontics, 17, 80-84. http://dx.doi.org/10.1016/S0099-2399(06)81613-4
[4]	Ferguson, D.B. (2005) Three Canals in the Mesiobuccal Root of a Maxillary First Molar: A Case Report. Journal of Endodontics, 31, 400-402. http://dx.doi.org/10.1097/01.don.0000148147.01937.6d
[5]	Zmener, O. and Peirano, A. (1998) Endodontic Therapy in a Maxillary Second Molar with Three Buccal Roots. Journal of Endodontics, 24, 376-377. http://dx.doi.org/10.1016/S0099-2399(98)80138-6
[6]	Buhrley, L., Barrows, M.J., BeGole, E.A. and Wenckus, C.S. (2002) Effect of Magnification on Locating the MB2 canal in Maxillary Molars. Journal of Endodontics, 28, 324-327. http://dx.doi.org/10.1097/00004770-200204000-00016
[7]	Kottoor, J., Velmurugan, N., Ballal, S. and Roy, A. (2011) Four-Rooted Maxillary First Molar Having C-Shaped Palatal Root Canal Morphology Evaluated Using Cone-Beam Computer Tomography: A Case Report. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, 111, 41-45. http://dx.doi.org/10.1016/j.tripleo.2010.12.009 Vertucci, F.J. (1984) Root Canal Anatomy of the Human Permanent Teeth. Oral Surgery, Oral Medicine, Oral Pathology, 58, 589-599. http://dx.doi.org/10.1016/0030-4220(84)90085-9
[8]	Neelakantan, P., Subbarao, C., Ahuja, R., Subbarao, C.V. and Gutmann, J.L. (2010) Cone-Beam Computed Tomography Study of Root and Canal Morphology of Maxillary First and Second Molars in an Indian Population. Journal of Endodontics, 36, 1622-1627. http://dx.doi.org/10.1016/j.joen.2010.07.006
[9]	Tachibana, H. and Matsumoto, K. (1990) Applicability of X-Ray Computerized Tomography in Endodontics. Endodontics Dental Traumatology, 6, 16-20. http://dx.doi.org/10.1111/j.1600-9657.1990.tb00381.x
[10]	Malagnino, V., Gallottini, L. and Passariello, P. (1997) Some Unusual Clinical Cases on Root Anatomy of Permanent Maxillary Molars. Journal of Endodontics, 23, 127-128. http://dx.doi.org/10.1016/S0099-2399(97)80260-9
[11]	Cleghorn, B.M., Christie, W.H. and Dong, C. (2006) Root and Root Canal Morphology of the Human Permanent Maxillary First Molar: A Literature Review. Journal of Endodontics, 32, 813-821. http://dx.doi.org/10.1016/j.joen.2006.04.014
[12]	Weine, F.S., Healey, H.J., Gerstein, H. and Evanson, L. (1969) Canal Configuration in the Mesiobuccal Root of the Maxillary First Molar and Its Endodontic Significance. Oral Surgery, Oral Medicine, Oral Pathology, 28, 419-425. http://dx.doi.org/10.1016/0030-4220(69)90237-0
[13]	Vertucci, F.J. (2005) Root Canal Morphology and Its Relationship to Endodontic Procedures. Endodontic Topics, 10, 3-29. http://dx.doi.org/10.1111/j.1601-1546.2005.00129.x