Management of Three Rooted Mandibular First Molar with Six Canals: A Case Report

Ramachandran, Vinoo Subramaniam; Shankari, Vidhya; Rathakrishnan, Mensudar; Chandrasegaran, Vinodha; Karpagavinayagam, Kumaraguru

doi:10.7759/cureus.6280

Cited by 6 publications

(3 citation statements)

References 17 publications

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“…The use of modern diagnostic tools can prevent an inadvertent search for extra canals that can lead to excessive removal of tooth structure and perforations. [11] These advanced diagnosis and treatment modalities are not available with ever dental practioners in a developing country like ours, India. Nor can the patient afford the high cost associated with the high-end treatment protocols.…”

Section: Discussionmentioning

confidence: 96%

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The Six In Six: Management Of A Mandibular First Molar With 4 Distal And 2 Mesial Canals

Batra¹

2023

Journal of Pharmaceutical Negative Results

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Locating all the root canals, cleaning and shaping them and then sealing them completely with a root canal filling material is very important for the root canal therapy to be successful. Missed canals lead to failure of the root canal treatment rendering the patient in pain. A dentist should be well-versed with the variations in the root canal system. The given case report presents a case of lower first molar with six canals, 4 distal and 2 mesial. All the canals were located using the champagne bubble test and the bleeding points were identified and the area was scouted to locate the canals. The clinician should evaluate all the cases clinically as well as radiographically for the presence of anomalies. Usually, the clinicians try to locate only the predominant canals and do not scout the chamber for any abnormal variations. This failure to locate a canal will lead to remnants of pulp in the tooth which is the major reason for re-infection and failure of the treatment. Also, in some cases it can be a reason for persistent pain for the patient. So, it’s important to locate all the canals and clean them for a successful root canal treatment.

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Section: Discussionmentioning

confidence: 96%

“…This intermediate canal joins more frequently with the mesiobuccal canal. Various authors [1,11] have suggested that younger patients had intermediate canals which were more easily found.…”

Section: Discussionmentioning

confidence: 99%

The Six In Six: Management Of A Mandibular First Molar With 4 Distal And 2 Mesial Canals

Batra¹

2023

Journal of Pharmaceutical Negative Results

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“…Understanding the morphology of each tooth including the third molar is important as it may have both clinical and forensic significance. Few studies have reported the differences in root morphology of the third molar among different group populations [6,7]. However, variations in crown morphology of the third molar have rarely been reported.…”

Section: Introductionmentioning

confidence: 99%

Multiple Accessory Cusps Expression at Mandibular Third Molar: A Unique Variation of Dental Crown Morphology - A Case Report

Mohamad Johar,

Tan

2023

ADUM

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Accessory cusps are occasional variations in tooth morphology that can be detected clinically. Third molars have a wide range of eruption patterns and shapes but are commonly impacted. Unlike root morphology, variations in the crown morphology of the third molar have rarely been reported. Variations in crown morphology are important because they can affect clinical outcomes. Here, we present a rare case of fully erupted mandibular third molar (MTM) with multiple accessory cusps. This case report describes a case of a 31-year-old female Kenyah with a unique crown morphology of her fully erupted, vital, and functional mandibular third molar (MTM) which has multiple accessory cusps seen on the buccal surface, giving the appearance of a double tooth. Her MTM presented with an incipient caries lesion, which was managed conservatively. Documenting variations in tooth morphology is crucial for individual identification. While most people opt to have their MTMs extracted, early management of well-erupted and functional teeth should be undertaken to prevent disease progression.

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Endodontic treatment of the mandibular first molar with six root canals: A case report and literature review

et al. 2022

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The mandibular first molars normally have three or four root canals and rarely have five or more root canals. The present study reported a rare anatomical configuration with six root canals in the mandibular right first molar diagnosed during endodontic treatment using a dental operating microscope and confirmed with the help of cone-beam computed tomography (CBCT) images. The present case report revealed that there is an increasing possibility of detecting additional canals through the magnification of the microscope and the improvement of CBCT diagnostic technology. As more abnormal morphologies in root canals are reported, dentists need to understand this diversity in anatomical structure and improve treatment techniques.

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Management of Three Rooted Mandibular First Molar with Six Canals: A Case Report

Cited by 6 publications

References 17 publications

The Six In Six: Management Of A Mandibular First Molar With 4 Distal And 2 Mesial Canals

The Six In Six: Management Of A Mandibular First Molar With 4 Distal And 2 Mesial Canals

Multiple Accessory Cusps Expression at Mandibular Third Molar: A Unique Variation of Dental Crown Morphology - A Case Report

Endodontic treatment of the mandibular first molar with six root canals: A case report and literature review

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