Journal of Conservative Dentistry
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CASE REPORT
Year : 2015  |  Volume : 18  |  Issue : 4  |  Page : 342-345

Management of a maxillary first molar having atypical anatomy of two roots diagnosed using cone beam computed tomography


1 Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Rohini, Delhi, India
2 Department of Pediatric Dentistry, ESIC Dental College and Hospital, Rohini, Delhi, India
3 Department of Oral and Maxillofacial Surgery, ESIC Dental College and Hospital, Rohini, Delhi, India

Correspondence Address:
Dr. Sarang Sharma
Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Rohini - 110 085, Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0707.159756

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Most often, a clinician working on maxillary first molar when anticipates an aberration thinks of an extra canal but rarely does he preempt fewer canals. Maxillary first molar is a tooth, which has been extensively reviewed with respect to its external and internal morphology. Abundant literature related to its anatomy is available, but reports on incidence of two roots and two root canals in maxillary first molar are very limited. Here, a case of maxillary first molar is presented that had two roots: one palatal root with Type I canal configuration and one bulbous fused buccal root with Type V canal configuration; a unique root and canal configuration not seen in any of the earlier reported cases. Diagnosis of root canal aberrancy and subsequently, accurate management of the tooth was greatly facilitated by cone beam computed tomography (CBCT) scan. The relevance of CBCT in improving treatment prognosis is greatly emphasized in this report.


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