Paramolar Tubercle in Endodontics: an Overview, Case Report and Specimen Study

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Authors

  • J. Paras Mull
     Department of Conservative Dentistry and Endodontics, JSS Dental College and Hospital, A Constituent College of JSS University, Sri Shivarathreeshwara Nagara, Mysore 570015, Karnataka ,IN
  • M. K. Manjunath
     Department of Conservative Dentistry and Endodontics, JSS Dental College and Hospital, A Constituent College of JSS University, Sri Shivarathreeshwara Nagara, Mysore 570015, Karnataka ,IN

Keywords:

Extra Cusp, Maxillary Second Molar, Paramolar Tubercle, Parastyle
Orthodontics

Abstract

Paramolar tubercle is an additional cusp occurring on the buccal surface of a permanent maxillary molar. Due to their overall low occurrence, there is limited information about root anatomy of paramolar tubercles. Periapical radiographs do not always image the root canal associated with the paramolar tubercle. Teeth with paramolar tubercle can promote problems like dental caries, gingivitis, periodontitis, and may pose problems to the clinician in procedures like orthodontic banding and rubber dam placement. Although, small paramolar tubercles may not have pulp tissue, a very large tubercle may contain separate pulp chamber and associated root canal. For successful management of such teeth requiring endodontic or periodontal therapy, advanced radiographic diagnostic aids should be used. In this paper this anatomical variation in maxillary second molar, was studied (i) by clinical examination, radiographic examination using intra-oral radiography and (ii) macroscopic examination, radiographic examination and by clearing technique in vitro.

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Published

2018-11-09

How to Cite

Mull, J. P., & Manjunath, M. K. (2018). Paramolar Tubercle in Endodontics: an Overview, Case Report and Specimen Study. Journal of Pierre Fauchard Academy (India Section), 27(4), 124–128. Retrieved from https://informaticsjournals.co.in/index.php/jpfa/article/view/22675

Issue

Volume 27, Issue 4, December 2013

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

Kallay J. Extra cusp formation in the human dentition. J Dent Res. 1966;45:1381-1393.

Malagnino V, Gallottini L, Passariello P. Some unusual clinical cases on root anatomy of permanent maxillary molars. J Endod. 1997;23:127-128.

Scott GC, Turner II CG. The Anthropology of Modern Human Teeth: Dental Morphology and its Variation in Recent Human Populations. London: Cambridge University Press; 1997.

Carolina R, Freddy M. Paramolar tubercle in the left maxillary second premolar: a case report. Dent Anthropol. 2006;19:65-69.

Dahlberg AA. The paramolar tubercle (Bolk). Am J Phys Anthropol. 1945;3:97-103.

Kustaloglu OA. Paramolar structures of the upper dentition. J Dent Res. 1962;41:75-83.

Chao-Mao M. Statistical observation of morphological and numerical anomalies in the teeth of Japanese. Shikagaku Zasshi. 1949;6:248-256.

Sumiya Y. Statistic study on dental anomalies in the Japanese. J Anthropol Soc Nippon. 1959;67:215-233.

Ooshima T, Ishida R, Mishima K, Sobue S. The prevalence of developmental anomalies of teeth and their association with tooth size in the primary and permanent dentitions of 1650 Japanese children. Int J Paediatr Dent. 1996;6:87-94.

Omer OE, Al Shalabi RM, Jennings M, Glennon J, Claffey NM. A comparison between clearing and radiographic techniques in the study of the root-canal anatomy of maxillary first and second molars. Int Endod J. 2004;37:291-296.

Pecora JD, Woelfel JB, Sousa Neto MD, Issa EP. Morphologic study of the maxillary molars. Part I: external anatomy. Braz Dent J. 1991;2:45-50.

Bolk L. Problems of human dentition. Am J Anat. 1916;19:91-148.

Turner RA, Harris EF. Maxillary second premolars with paramolar tubercles. Dent Anthropol. 2004;17:75-78.

Magalee RE, Kramer S. The paramolar tubercle: a morphological anomaly with clinical considerations. N Y State Dent J. 1984;50:564-566.

Ohishi K, Ohishi M, Takahashi A, Kido J, Uemura S, Nagata T. Examination of the roots of paramolar tuberoles with computed tomography. Oral Surg Oral Med Oral Pathol. 1999;88:479-483.

Friedman S, Stabholz A, Rotstein I. Endodontic management of molars with developmental anomalies. Int Endod J. 1986;19:267-276.

Nayak G, Shetty S, Singh I. Paramolar tubercle: a diversity in canal configuration identified with the aid of spiral computed tomography. Eur J Dent. 2013 January;7:139-144.

Zidan O, El-Deeb M. Restorative and endodontic management of an anomalous mandibular molar. Quintessence Int. 1991;22:189-192.

Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic managing: part 1. Conventional and alternative radiographic systems. Int Endod J. 2009a;42:447-462.