Root canal treatment of a maxillary left first molar with 2 palatal canals - a case report

Sivan, Hema Devi and Azih, Nurul Farah and Mustaffa, Musliana (2025) Root canal treatment of a maxillary left first molar with 2 palatal canals - a case report. IIUM Journal of Orofacial and Health Sciences, 6 (2). pp. 262-267. E-ISSN 2735-0584

PDF - Published Version Download (2MB)

Abstract

Comprehensive knowledge of normal dental anatomy and awareness of potential anatomical variations are crucial to successful endodontic treatment. Anatomical variations such as additional canals in the palatal root of the maxillary molar are poorly reported, attributed to their low prevalence in general populations. This case report highlights the utilization of cone beam computed tomography (CBCT) as a diagnostic tool for locating additional canal in the palatal root of maxillary left first molar. The application of CBCT imaging technology in endodontics enables precise diagnosis through enhanced visualization of anatomical variations, thereby enhancing treatment planning and management of cases presenting with complex canal morphology. The present case documents the successful management of a maxillary left first molar exhibiting abnormal morphology of four canals: two located in the palatal root, one in the mesiobuccal root, and one in the distobuccal root. The canals were biomechanically prepared with crown-down technique and obturated using cold lateral compaction technique with gutta-percha points and AH-Plus root canal sealer. Post-treatment evaluation at six months demonstrated clinical success, with the tooth remaining asymptomatic and maintaining its normal function

Item Type:	Article (Case Report)
Uncontrolled Keywords:	aberrant root canal, CBCT aided, endodontic management, maxillary molar
Subjects:	L Education > L Education (General) R Medicine > RK Dentistry
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Dentistry Kulliyyah of Dentistry > Department of Restorative Dentistry
Depositing User:	Dr Musliana Mustaffa
Date Deposited:	01 Aug 2025 09:59
Last Modified:	01 Aug 2025 09:59
URI:	http://irep.iium.edu.my/id/eprint/122406

Actions (login required)

View Item