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Article in English | MEDLINE | ID: mdl-22762918

ABSTRACT

Aberrant root canal anatomy is diagnostically and clinically challenging for clinicians. The most common root canal configuration of human molars is 2 roots and 3 canals, but various combinations may still exist. Third molars are known to have the most unusual anatomy among human teeth. Restorative, prosthetic, and orthodontic considerations often require endodontic treatment of third molars in order for them to be retained as functional components of the dental arch. The present case report demonstrates unusual root canal morphology of the mandibular third molar. Roentgenographic examination, which included spiral CT scan, revealed 3 separate mesial roots in tooth #48 with 3 independent canals and 3 canal orifices, indicating an endodontic rarity. The present case report puts impetus on exploration of additional canals using advanced diagnostic aids, such as spiral computed tomography, which can have a huge impact on the successful outcome of endodontic therapy.


Subject(s)
Dental Pulp Cavity/abnormalities , Molar, Third/abnormalities , Root Canal Therapy/methods , Tomography, Spiral Computed/methods , Tooth Root/abnormalities , Composite Resins/chemistry , Dental Materials/chemistry , Dental Pulp Cavity/diagnostic imaging , Dental Pulp Necrosis/therapy , Dental Restoration, Permanent , Follow-Up Studies , Humans , Imaging, Three-Dimensional/methods , Male , Mandible/diagnostic imaging , Molar, Third/diagnostic imaging , Odontometry/instrumentation , Root Canal Obturation/methods , Root Canal Preparation/instrumentation , Root Canal Preparation/methods , Tooth Apex/diagnostic imaging , Tooth Apex/pathology , Tooth Root/diagnostic imaging , Tooth Root/pathology , Young Adult
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