Management of maxillary first molar with six canals using operating microscope

Kishan, KarkalaVenkappa; Das, Devika; Chhabra, Naveen; Rathore, Vishnu Pratap Singh; Remy, Vimal

doi:10.4103/ijdr.ijdr_722_16

Cited by 5 publications

(3 citation statements)

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“…Cases of maxillary 1st molar with unusual morphology have also been reported, for example, maxillary 1st molar with six canals, three canals in mesiobuccal root and a case of unusual maxillary 1st molar with two palatal canals within a single root [15][16][17]. The present study also contributes to an understanding of root canal system in maxillary 1st molars.…”

Section: Discussionsupporting

confidence: 59%

Comparison of Detection Rate of Root Canal Orifices of Maxillary First Molar Using Various Techniques: An in-vivo Study

Garg¹,

Agrawal

Wadhwani

et al. 2021

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To compare the detection rate of root canal orifices of maxillary first molar by various techniques in the Indian population. Material and Methods: A total of 50 maxillary 1st molar cases were selected and sequentially divided into four groups: Group I: Naked eye; Group II: Surgical loupe; Group III: Surgical operating microscope; and Group IV: Fluorescein sodium dye. After access opening, the number of root canal orifices was detected in all cases with these methods. Results: By naked eye and surgical loupe, a total of 171 root canal orifices were detected, by a surgical operating microscope, 176, and by fluorescein sodium dye, 177 root canal orifices were detected. The detection rate of root canal orifices is as follows: Group I (96.61%) = Group II (96.61%) < Group III (99.44%) < Group IV (100%) and detection rate of MB-2 canal orifices Group I (40%) = Group II (40%) < Group III (50%) < Group IV (52%). No significant difference in the number of canal orifices detected could be seen for any of the comparisons. No significant difference was observed between the naked eye and surgical loupe techniques. Although the surgical operating microscope detected more root canal orifices, it did not have a significantly higher detection than the other two techniques. Conclusion: No significant difference was seen among various methods. However, the use of a surgical operating microscope and fluorescein sodium dye increased the detection rate of root canal orifices.

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Section: Discussionsupporting

confidence: 59%

Comparison of Detection Rate of Root Canal Orifices of Maxillary First Molar Using Various Techniques: An in-vivo Study

Garg¹,

Agrawal

Wadhwani

et al. 2021

Pesqui. Bras. Odontopediatria Clín. Integr.

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“…Apart from these common anatomical configurations, a few rare variations of the root canal complex in the maxillary first molars have been reported in the literature. These include maxillary first molars having one root and one canal,[ 4 ] two root canals,[ 5 ] five root canals,[ 6 ] six root canals,[ 7 ] seven root canals,[ 8 ] and eight root canals[ 9 ] as well. The occurrence of an additional palatal root[ 10 ] and C-shaped canal[ 11 ] in maxillary first molars has also been documented.…”

Section: Introductionmentioning

confidence: 99%

Endodontic management of a maxillary first molar with three roots and six root canals

Kadulkar,

Kataki,

Deka

et al. 2024

Journal of Conservative Dentistry and Endodontics

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Variations in the root canal anatomy of a maxillary first molar are often challenging to diagnose and treat; thus, clinicians must have a thorough knowledge of the same. This case report highlights the successful nonsurgical endodontic management of a maxillary first molar with an unusual morphology of three roots and six root canals. A total of six root canals (mesiobuccal [MB] 1, MB2, MB3, distobuccal [DB] 1, DB2, and palatal) were detected after initiating root canal therapy and access cavity preparation. Conventional root canal treatment was completed, and postoperative cone-beam computed tomography scanning was done to verify the total number of canals and ensure the adequacy of root canal fillings. Managing such cases with rare variations in the root canal systems could be arduous and thus, clinicians should be well-versed in the methods to identify and manage such complexities to facilitate the successful outcomes of endodontic treatment.

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“…The purpose of root canal therapy is to disinfect the root canal system as thoroughly as possible and to fill it in all its dimensions. [ 1 ] This involves a process called “chemomechanical preparation,” wherein chemically active solutions are used along with the mechanical instrumentation of the root canal system. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Herbal medicaments in endodontics – Current guidelines for in vivo studies in India

et al. 2019

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Elimination of bacteria from infected root canal systems is a challenging task. Various techniques have been described to reduce the number of bacteria within the root canal system, which include chemomechanical instrumentation, use of various irrigants to remove or dissolve organic and inorganic debris, and to destroy bacteria. The intracanal medicament plays a key role in the success of root canal treatment. With the rise in bacterial resistance to antibiotics, there is considerable interest in the development of other classes of antimicrobials for the control of infection. Natural products are known to play an important role in human life. The use of herbal products as mouthwash has been tried and tested in the literature. However, the use of herbal intracanal medicament has been shown promising results when used under in vitro conditions, but in vivo studies are very scarce. This may be due to the limited supporting literature available to use it as intracanal medicament in patients due to the ethical concern. Hence, the purpose of this review is to highlight the current guidelines (laid by the drugs and cosmetics act as per the Gazette of India) regarding the use of herbal medicaments for the clinical trials in endodontics.

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Management of maxillary first molar with six canals using operating microscope

Cited by 5 publications

References 0 publications

Comparison of Detection Rate of Root Canal Orifices of Maxillary First Molar Using Various Techniques: An in-vivo Study

Comparison of Detection Rate of Root Canal Orifices of Maxillary First Molar Using Various Techniques: An in-vivo Study

Endodontic management of a maxillary first molar with three roots and six root canals

Herbal medicaments in endodontics – Current guidelines for in vivo studies in India

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