Endodontic Management of a Mandibular First Molar with Four Canals in a Distal Root by Using Cone-Beam Computed Tomography: a Case Report
Background: Aberrations in the root canal anatomy are clinically challenging for clinicians. Mandibular first molars usually have 2 roots and 3 or 4 canals, but various combinations may exist. A distal root with three canals is rare and its incidence in literature is about 0.2 - 3%. As a diagnostic...
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| Language: | English |
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Lithuanian University of Health Sciences, Faculty of Odontology
2014-04-01
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| Series: | eJournal of Oral Maxillofacial Research |
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| Online Access: | http://www.ejomr.org/JOMR/archives/2014/1/e5/v5n1e5ht.htm |
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| _version_ | 1839598754586427392 |
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| author | Hani Baziar Farzaneh Daneshvar Abbas Mohammadi Hamid Jafarzadeh |
| author_facet | Hani Baziar Farzaneh Daneshvar Abbas Mohammadi Hamid Jafarzadeh |
| author_sort | Hani Baziar |
| collection | DOAJ |
| description | Background: Aberrations in the root canal anatomy are clinically challenging for clinicians. Mandibular first molars usually have 2 roots and 3 or 4 canals, but various combinations may exist. A distal root with three canals is rare and its incidence in literature is about 0.2 - 3%. As a diagnostic tool, cone-beam computed tomography (CBCT) may be a better choice for diagnosis of extra roots or canals comparing to conventional radiography.
Methods: An endodontic management of a mandibular first molar with six canals was performed. CBCT was used to confirm the diagnosis and to understand the morphology of the canals.
Results: Evaluation of the axial and coronal slices of CBCT images confirmed the presence of 2 roots and 6 canals. The distal root had four distinct root canal orifices with two apical foramens, being described as type XIV canal configuration.
Conclusions: Dentists should be aware of unexpected canal morphology when performing endodontic treatment. The present case demonstrated the use of CBCT in diagnosis and negotiation of extra canals in a mandibular first molar. |
| format | Article |
| id | doaj-art-a84c8c40d7ba4094b9f55e3bff6a3d5a |
| institution | Matheson Library |
| issn | 2029-283X |
| language | English |
| publishDate | 2014-04-01 |
| publisher | Lithuanian University of Health Sciences, Faculty of Odontology |
| record_format | Article |
| series | eJournal of Oral Maxillofacial Research |
| spelling | doaj-art-a84c8c40d7ba4094b9f55e3bff6a3d5a2025-08-02T16:07:31ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2014-04-0151e510.5037/jomr.2014.5105Endodontic Management of a Mandibular First Molar with Four Canals in a Distal Root by Using Cone-Beam Computed Tomography: a Case ReportHani BaziarFarzaneh DaneshvarAbbas MohammadiHamid JafarzadehBackground: Aberrations in the root canal anatomy are clinically challenging for clinicians. Mandibular first molars usually have 2 roots and 3 or 4 canals, but various combinations may exist. A distal root with three canals is rare and its incidence in literature is about 0.2 - 3%. As a diagnostic tool, cone-beam computed tomography (CBCT) may be a better choice for diagnosis of extra roots or canals comparing to conventional radiography. Methods: An endodontic management of a mandibular first molar with six canals was performed. CBCT was used to confirm the diagnosis and to understand the morphology of the canals. Results: Evaluation of the axial and coronal slices of CBCT images confirmed the presence of 2 roots and 6 canals. The distal root had four distinct root canal orifices with two apical foramens, being described as type XIV canal configuration. Conclusions: Dentists should be aware of unexpected canal morphology when performing endodontic treatment. The present case demonstrated the use of CBCT in diagnosis and negotiation of extra canals in a mandibular first molar.http://www.ejomr.org/JOMR/archives/2014/1/e5/v5n1e5ht.htmanatomycone-beam computed tomographymolartooth roottooth canal |
| spellingShingle | Hani Baziar Farzaneh Daneshvar Abbas Mohammadi Hamid Jafarzadeh Endodontic Management of a Mandibular First Molar with Four Canals in a Distal Root by Using Cone-Beam Computed Tomography: a Case Report eJournal of Oral Maxillofacial Research anatomy cone-beam computed tomography molar tooth root tooth canal |
| title | Endodontic Management of a Mandibular First Molar with Four Canals in a Distal Root by Using Cone-Beam Computed Tomography: a Case Report |
| title_full | Endodontic Management of a Mandibular First Molar with Four Canals in a Distal Root by Using Cone-Beam Computed Tomography: a Case Report |
| title_fullStr | Endodontic Management of a Mandibular First Molar with Four Canals in a Distal Root by Using Cone-Beam Computed Tomography: a Case Report |
| title_full_unstemmed | Endodontic Management of a Mandibular First Molar with Four Canals in a Distal Root by Using Cone-Beam Computed Tomography: a Case Report |
| title_short | Endodontic Management of a Mandibular First Molar with Four Canals in a Distal Root by Using Cone-Beam Computed Tomography: a Case Report |
| title_sort | endodontic management of a mandibular first molar with four canals in a distal root by using cone beam computed tomography a case report |
| topic | anatomy cone-beam computed tomography molar tooth root tooth canal |
| url | http://www.ejomr.org/JOMR/archives/2014/1/e5/v5n1e5ht.htm |
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