Endodontic Treatment of Three-rooted Maxillary First Premolar: A Case Report

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Authors

  • Vijay Mantri
     ,IN
  • Aparna Palekar
     Department of Conservative Dentistry & Endodontics, Modern Dental College & Research Centre, Indore, M.P. ,IN
  • Shubham Kala
     Department of Conservative Dentistry & Endodontics, Modern Dental College & Research Centre, Indore, M.P. ,IN

Keywords:

Anatomical Variations, Maxillary First Premolar, Three Roots
Endodontics

Abstract

A meticulous knowledge of the tooth morphology, careful interpretation of angled radiographs, proper access preparation and a detailed exploration of the interior of the tooth are prerequisites for a successful treatment outcome. False assumption about root canal morphology may lead to incomplete debridement and obturation of root canal space eventually leading to endodontic failures.

Maxillary first premolar is known for the greatest variations in root anatomy and root canal morphology, while presence of two roots with two canals is quite common and is considered normal. The incidence of first maxillary premolar with three roots & three canals is quite rare and has been reported to 0-6% by Carns and Skid.

This case report discusses the diagnosis and treatment of a maxillary first premolar with three canals and three separate roots. The presence of three roots with three canals was detected by radiographic interpretation, access refinements and confirmed by using spiral computed tomography.

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Published

2018-09-12

How to Cite

Mantri, V., Palekar, A., & Kala, S. (2018). Endodontic Treatment of Three-rooted Maxillary First Premolar: A Case Report. Journal of Pierre Fauchard Academy (India Section), 28(1), 18–22. Retrieved from https://informaticsjournals.co.in/index.php/jpfa/article/view/22223

Issue

Volume 28, Issue 1, March 2014

Section

Case Report

License

All the articles published in JPFA are distributed under a creative commons license. The journal allows the author(s) to hold the copyright of their work (all usages allowed except for commercial purpose).

 

References

Kartal N, Ozcelik B, Cimilli H. Root canal morphology of maxillary premolars. J Endod. 1998;24:417-419.

Trope M, Elfenbein L, Trondstad L. Mandibular premolars with more than one root canal in different race groups. J Endod. 1986;12:343-345.

Carns EJ, Skidmore AE. Configuration and deviations of root canals of maxillary first premolars. Oral Surg. 1973;36:880-886.

Kartal N, Ozelik B, Cimilli H. Root canal morphology of maxillary premolars. J Endod. 1973;24:417-419.

Loh HS. Root morphology of the maxillary first premolar in Singapoureans. Aust Dent J 1973;43:339-402.

Bellizzi R, Hartwell G. Radiographic evaluation of root canal anatomy of in vivo endodontically treated maxillary premolars. J Endod. 1985;11:37-41.

Vertucci FJ, Gegauff A. Root canal morphology of the maxillary first premolars. J Am Dent Assoc. 1979;99:194-198.

Chaparro AJ, Segura JJ, Guerrero E, Jimenez-Rubio A, Murillo C, Feito JJ. Number of roots and canals in maxillary first premolars: study of an Andalusian population. Endod Dent Traumatol. 1999;15:65-67.

Grossman L. Endodontic failures. Dent Clin North Am. 1972;16:50-70.

Javidi M, Zarei M, Vatanpour M. Endodontic treatment of a radiculous maxillary premolar: a case report. J Oral Sci. 2008;50:99-102.

Vertucci FJ. Root morphology of mandibular premolars. J Am Dent Assoc. 1978;97:47-50.

Al-Fouzan KS. The microscopic diagnosis and treatment of a mandibular second premolar with four canals. Int Endod J. 2001;34:406-410.

Holtzman L. Root canal treatment of mandibular second premolar with four root canals: a case report. Int Endod J. 1998;31:364-366.

Ballal S, Sachdeva GS, Kandaswamy D. Endodontic management of a fused mandibular second molar and paramolar with the aid of spiral computed tomography: a case report. J Endod. 2007;33:1247-1251.

Gopikrishna V, Bhargavi N, Kandaswamy D. Endodontic management of a maxillary first molar with a single root and a single canal diagnosed with the aid of spiral CT: a case report. J Endod. 2006;32:687-691.

Sponchiado Jr EC, Ismail HA, Braga MR, de Carvalho FK, Simoes CA. Maxillary central incisor with two root canals: a case report. J Endod. 2006;32:1002-1004.

Arisu HD, Alacam T. Diagnosis and treatment of three-rooted maxillary premolars. Eur J Dent. 2009;3:62-66.