ENDODONTIC TREATMENT OF A SECOND MAXILLARY MOLAR WITH FIVE ROOT CANALS – A Case Report

Abstract

ITRODUCTION: Knowledge of the internal dental morphology is a complex and extremely important point for planning and performing of endodontic treatment. CASE REPORT: The subject of this study was a clinical case of a second maxillary molar with five root canals – one canal in the palatal root, one canal in the distobuccal root and three canals in mesiobuccal root. DISCUSSION: Successful root canal treatment depends on proper cleaning, shaping and compact filling of the root canal under aseptic conditions. In order to achieve these, clinicians need to know thoroughly the morphology of the individual root canal and atypical root canal configuration. The mesiobuccal root of the maxillary first molar has generated more research, clinical investigation, and pure frustration than probably any other root in the mouth. CONCLUDING REMARKS: Endodontic research and technology are continually evolving to enable practitioners to identify, disinfect and obturate root canal system predictably and efficiently. Since the ultimate goal for patients and practitioners alike is the retention of natural teeth for a lifetime, endodontic therapy remains, and will continue to be, the primary treatment choice for teeth with pulpal and periradicular pathology. Magnification has been found to increase the detection rate of additional canals from 17,2% with the naked eye, to 62,5% with loupes and 71,1% using the surgical operating microscope.