Endodontic Management of a Maxillary First Molar with Seven Root Canals Using Spiral Computed Tomography

Yadav, Hemant Kumar; Saini, Gaurav Kumar; Chhabra, Harpreet Singh; Panwar, Pratyaksha Singh

Endodontic Management of a Maxillary First Molar with Seven Root Canals Using Spiral Computed Tomography

Document Type : Case Report

Authors

Hemant Kumar Yadav ¹

Gaurav Kumar Saini ²

Harpreet Singh Chhabra ³

Pratyaksha Singh Panwar ⁴

¹ Senior Resident, Dept. of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.

² Senior Lecturer, Dept. of Conservative Dentistry and Endodontics, Sardar Patel Post Graduate Institute of Dental & Medical Sciences, Lucknow, India.

³ Reader, Dept. of Conservative Dentistry and Endodontics, Sardar Patel Post Graduate Institute of Dental & Medical Sciences, Lucknow, India.

⁴ Dept. of Dentistry, Government Doon Medical College, Dehradun, Uttarakhand, India.

Abstract

The main objective of this case report is to present a rare root canal configuration of maxillary molar with seven root canals; three mesiobuccal, two palatal and two distobuccal canals diagnosed during treatment procedure confirmed by spiral computed tomography. A thorough knowledge of root canal morphology, proper clinical and radiographic examination, and use of dental operating microscopes are necessary for successful clinical outcomes. This article highlights the variations in the morphology of maxillary first molar and use of the latest techniques in successful diagnosis and negotiation of the additional canals.Keywords ● Maxillary First molar ● Root Canal Morphology ● Spiral Computed ● Tomography