Management of Maxillary First Molar with Six Canals using Cone Beam Computed Tomography

Abstract

ABSTRACT The probability of morphologic variations in a tooth should never be misconstrued and the cognition of these variations is the cue to successful endodontic treatment. The form, configuration, and number of root canals in maxillary first molar have been studied for more than half a century. An anatomic variation like three canals in the distal root of maxillary first molar is not frequently reported. Apart from a properly designed access cavity, well-angulated radiographs, and routine use of loupes, the practitioner should consider using cone beam computed tomography as an auxiliary method for detecting complex root canal anatomy. This clinical case report presents the successful management of maxillary first molar with six root canals with the use of computed tomography scans as a diagnostic aid. Key Messages The incidence of second distobuccal canal ranges from 1.64 to 9.5%. However, the incidence of third distal canal (distopalatal) is rare (<1%). This report highlights the importance of computed tomography in the successful diagnosis and management of maxillary first molar. How to cite this article Madan N, Gwalani H, Raisingani D, Prasad A, Srivastava H. Management of Maxillary First Molar with Six Canals using Cone Beam Computed Tomography. J Oper Dent Endod 2017;2(1):36-39.