International Journal of Oral Health Dentistry
Year : 2018, Volume : 4, Issue : 2
First page : ( 111) Last page : ( 113)
Print ISSN : 2395-4914. Online ISSN : 2395-499X.
Article DOI : 10.18231/2395-499X.2018.0024

A case report on non surgical management of rarely found maxillary first molar with four roots

Meena Babita^1,*, Hasija Mukesh¹

¹Assistant Professor, Dept of Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India

*Corresponding Author: Email: bmeena@jmi.ac.in

Online published on 24 September, 2018.

Abstract

Endodontic mishaps are very unfortunate and most of the time iatrogenic Causes include inadequate knowledge of radicular morphology and some are due to the negligence of the dental surgeon. Maxillary first molar having three roots and three distinct canals is normal anatomical finding but presence of fourth root with a patent root canal is rare phenomenon to found in routine endodontic practice. Present case report discusses successful non surgical root canal treatment of maxillary first molar with a exceptional root canal anatomy of four separated roots. Invariably maxillary first molar has most complicated root canal anatomy. Most commonly found variation in maxillary molar are presence of two canals i.e. MB1 AND MB2 in mesiobuccal root and. Extra root or fourth root is a rare finding and least documented. This case report explains the successful root canal treatment of first maxillary molar with four distinctroots and four canals. Access cavity modified according to root canal anatomy, cleaning and shaping done with rotary instruments and obturation done with the help of calcium hydroxide based sealer.

Top

Keywords

Four Roots, Endodontically, Irreversible Pulpitis, Heat Test, Periapical.

Top