IDENTIFICATION AND ENDODONTIC TREATMENT OF THREE-CANALLED MAXILLARY FIRST PREMOLAR

Authors

  • Atif Saleem Agwan Department of Dentistry, Northern area Armed Forces Hospital, King Khalid Military City
  • Zeeshan Sheikh Faculty of Dentistry, University of Toronto

Abstract

Maxillary premolars exhibit variable root canal morphology, but it is quite rare to find three canals in their root system. The aim of this case report is to present the diagnosis and clinical management of a patient with anatomical variation of having three root canals in the maxillary first premolar. Three-canalled maxillary premolars are quite an endodontic challenge. A discussion is provided here to facilitate the early recognition of these canals, access cavity modifications for better intra-canal preparation and obturation procedures. Clinicians are required to be aware of the anatomical variations they may encounter when dealing with maxillary premolars and should be trained to apply this knowledge in the clinical scenario.

Keywords: Maxillary first premolar; anatomical variations; root anatomy; endodontics

References

Pécora JD, Saquy PC, Sousa Neto MD, Woelfel JB. Root form and canal anatomy of maxillary first premolars. Braz Dent J 1991;2(2):87-94.

Baratto Filho F, Zaitter S, Haragushiku GA, de Campos EA, Abuabara A, Correr GM. Analysis of the internal anatomy of maxillary first molars by using different methods. J Endod 2009;35(3):337-42.

al Shalabi RM, Omer OE, Glennon J, Jennings M, Claffey NM. Root canal anatomy of maxillary first and second permanent molars. Int Endod J 2000;33(5):405-14.

Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984;58(5):589-99.

Carns EJ, Skidmore AE. Configurations and deviations of root canals of maxillary first premolars. Oral Surg Oral Med Oral Pathol 1973;36(6):880-6.

Bellizzi R, Hartwell G. Radiographic evaluation of root canal anatomy of in vivo endodontically treated maxillary premolars. J Endod 1985;11(1):37-9.

Vertucci F, Seelig A, Gillis R. Root canal morphology of the human maxillary second premolar. Oral Surg Oral Med Oral Pathol 1974;38(3):456-64.

Vertucci FJ, Gegauff A. Root canal morphology of the maxillary first premolar. J Am Dent Assoc 1979;99(2):194-8.

Sieraski SM, Taylor GN, Kohn RA. Identification and endodontic management of three-canalled maxillary premolars. J Endod 1989;15(1):29-32.

Javidi M, Zarei M, Vatanpour M. Endodontic treatment of a radiculous maxillary premolar: a case report. J Oral Sci 2008;50(1):99-102.

Arisu HD, Alacam T. Diagnosis and treatment of three-rooted maxillary premolars. Eur J Dent 2009;3(1):62-6.

Soares J, Leonardo RT. Root canal treatment of three-rooted maxillary first and second premolars-a case report. Int Endod J 2003;36(10):705-10.

Kulid JC, Peters DD. Incidence and configuration of canal systems in the mesiobuccal root of maxillary first and second molars. J Endod 1990;16(7):311-7.

Cleghorn BM, Christie WH, Dong CC. Root and root canal morphology of the human permanent maxillary first molar: a literature review. J Endod 2006;32(9):813-21.

Woelfel JB, Scheid RC, Dental anatomy: its relevant to dentistry, 5th edn. Williams & wilkins, USA; 1997.

Rhodes JS. Advanced endodontics: clinical retreatment and surgery. CRC Press 2005.

Gulabivala K. Advances in endodontics. Prim Dent Care 2000;7(3):105-7.

Karumaran CS, Gunaseelan R, Krithikadatta J. Microscope-aided endodontic treatment of maxillary first premolars with three roots: A case series. Indian J Dent Res 2011;22(5):706-8.

Peters OA. Accessing root canal systems: knowledge base and clinical techniques. Endod Practice Today 2008;2(2):87-104.

Cantatore G, Berutti E, Castellucci A. Missed anatomy: frequency and clinical impact. Endod Top 2006;15(1):3-31.

Taylor G. Advanced techniques for intracanal preparation and filling in routine endodontic therapy. Dent Clin North Am 1984;28(4):819-32.

Weine, F.S., Endodontic therapy. Mosby 1976.

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Published

2016-08-28

How to Cite

Agwan, A. S., & Sheikh, Z. (2016). IDENTIFICATION AND ENDODONTIC TREATMENT OF THREE-CANALLED MAXILLARY FIRST PREMOLAR. Journal of Ayub Medical College Abbottabad, 28(3), 627629. Retrieved from https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/1452

Issue

Vol. 28 No. 3 (2016): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

CASE REPORT

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