“SMALL MOLAR” AS AN ENDODONTIC CHALLANGE.

Autor: Ana, Planinić, Irmina, Tahmiščija, Alma, Konjhodžić, Lajla, Hasić- Branković, Aida, Džanković, Samra, Korać
Předmět:
Zdroj: Stomatological Review / Stomatološki Vjesnik; 2024, Vol. 13 Issue 1, p46-50, 5p
Abstrakt: Background: This case report describes the successful endodontic treatment of the upper first premolar with three roots and three root canals. The prevalence of this morphological form in the population of Bosnia and Herzegovina is exceedingly uncommon. The primary objective of this paper is to highlight the difficulties in diagnosing and treating teeth with unusual root canal morphology. Case presentation: To establish a diagnosis, the patient underwent a comprehensive clinical examination including endodontic tests and radiographic imaging. Analyzing the segmented CBCT image confirmed the presence of three roots and three root canals, as predicted. The T-shaped outline of the access cavity was achieved using an ultrasonic cone diamond tip. The obstruction in the palatal canal was successfully resolved using the step-down instrumentation technique. Following the application of calcium hydroxide medication, the canals were filled using the monocone obturation. A follow-up periapical image, one year later, revealed periapical tissue healing. Conclusion: Practitioners must be aware of the possible morphological variations of root canals. CBCT imaging is recommended for precise diagnosis and treatment planning in these clinical situations. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index