alexa Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone-beam computed tomography scanning: a case report.



Author(s): Kottoor J, Velmurugan N, Surendran S

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Abstract INTRODUCTION: Root canal treatment of maxillary molars presenting with complex root canal configurations can be diagnostically and technically challenging. METHODS: Nonsurgical endodontic therapy of a left maxillary first molar with three roots and eight root canals was successfully performed. This unusual morphology was diagnosed using a dental operating microscope (DOM) and confirmed with the help of cone-beam computed tomography (CBCT) images. RESULTS: CBCT axial images showed that both the mesiobuccal and distobuccal root contained a Sert and Bayirli type XV canal, whereas the palatal root showed a Vertucci type II canal configuration. CONCLUSIONS: The use of a DOM and CBCT imaging in endodontically challenging cases can facilitate a better understanding of the complex root canal anatomy, which ultimately enables the clinician to explore the root canal system and clean, shape, and obturate it more efficiently. Copyright © 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved. This article was published in J Endod and referenced in Dentistry

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