Submitted: 01 Feb 2018
Accepted: 05 Mar 2018
First published online: 15 Mar 2018
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Avicenna J Dent Res. 2018;10(1):31-34.
doi: 10.15171/ajdr.2018.07
  Abstract View: 53
  PDF Download: 57

Case Report

A Successful Root Canal Therapy of a Maxillary First Molar With 3 Separate Root Canals in the Mesiobuccal Root: Case Report

hamed karkehabadi 1, Masoumeh Ramezani 2 * , Hossein Samiei 3

1 Endodontics Department, Dentistry School, Hamedan University of Medical Sciences, Hamedan, Iran.
2 Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
3 Endodontics Department, Dentistry School, Qazvin University of Medical Sciences, Qazvin, Iran.
Corresponding author: Masoumeh Ramezani Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Bahonar Blvd., Qazvin, Iran. Tel: +98-28 33353064 Fax: +98-28 33353066 Email: Email: m269_ramezani@yahoo.com

Article

Introduction: An important issue in treatment planning and endodontic treatment is to deal with sophisticated internal dental morphology. Deviations from normal anatomy in maxillary molars are usually related to the number of canals in mesiobuccal root. Although unusual anatomy is not uncommon in maxillary molars, the occurrence of 3 separate canals with distinct orifices and apical foramina (as we see in this case) is extremely rare. Getting familiar with this unusual anatomy helps clinicians to treat patients more efficiently with less chance of failure.

Case Presentation: This case report describes a successful endodontic management of an uncommon variation of the maxillary first molar with a third mesiobuccal canal. The tooth had a deep carious lesion and the pulp was irreversibly damaged causing pain on the left side of the face. The periodontium was normal. The tooth received root canal treatment and 400 mg ibuprofen was prescribed every 6 hours for 2 to 3 days. The patient remained asymptomatic and the 3-month follow-up radiograph revealed normal periodontium.

Conclusions: Inability to identify and treat additional canals that are very common in the MB root of maxillary first molar could lead to treatment failure.

Citation: Karkehabadi H, Ramezani M, Samiei H. A successful root canal therapy of a maxillary first molar with 3 separate root canals in the mesiobuccal root: case report. Avicenna J Dent Res. 2018;10(1):31-34. doi: 10.15171/ajdr.2018.07.
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