World Journal of
Pharmaceutical and Life Sciences

CBCT AIDED ENDODONTIC MANAGEMENT OF MAXILLARY FIRST MOLAR WITH 5 CANALS: A CASE REPORT

Dr. Harshita*, Prashant Monga, Pardeep Mahajan, Pratima Sharma, Harsimranjit Kaur, Palvi Dhand Gupta, Sakshi Garg and Amitoj Kaur Walia

ABSTRACT

Root canal treatment is a technically demanding procedure especially in the case of maxillary first molar where the anatomy is extremely variable. Presence of extra canals is a common finding. Failure to recognise and treat these variations may lead to unpredictable outcomes. This case report presents the endodontic management of a maxillary first molar with three roots and five canals. A 40-year-old man came with history of discomfort on chewing in the right upper tooth region for 1 week. Periapical radiograph revealed mesio-occlusal caries with pulp involvement and the mesial root was associated with localised well-circumscribed radiolucency. De-roofing of the pulp chamber were done to provide straight line access to the canals. CBCT scan was performed with a tube voltage of 100 KV and a tube current of 8 mA. CBCT scan slices revealed five canals (two mesiobuccal, two distobuccal and one palatal) in the right maxillary first molar. The clinical detection of the five canals was made using a surgical operating microscope and confirmed using cone-beam computed tomography (CBCT) scanning. It also highlights the need for thorough knowledge of root canal morphology and its variations in order to achieve consistently successful results.

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