Journal of Conservative Dentistry
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CASE REPORT
Year : 2021  |  Volume : 24  |  Issue : 1  |  Page : 105-109

Endodontic management of a maxillary second molar with three roots and seven canals using cone-beam computed tomography


1 Department of Conservative Dentistry and Endodontics, RUHS College of Dental Sciences, Rajasthan University of Health Sciences, Jaipur, India
2 Department of Endodontology, Oman Dental College, Muscat, Wattayah, Sultanate of Oman
3 Department of Oral Medicine and Radiology, RUHS College of Dental Sciences, Rajasthan University of Health Sciences, Jaipur, India
4 Department of Dentistry, New Medical College and Hospital, Kota, Rajasthan, India

Correspondence Address:
Dr. Lalit Kumar Likhyani
Department of Conservative Dentistry and Endodontics, RUHS College of Dental Sciences, Subhash Nagar, Jaipur - 302 016, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcd.jcd_652_20

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The present case highlights the endodontic management of a maxillary second molar with three roots and seven canals. Root canal treatment was performed for the maxillary second molar diagnosed with symptomatic irreversible pulpitis. During the procedure under magnification, extra canals were detected in the mesiobuccal root. Cone-beam computed tomography (CBCT) evaluation confirmed four canals in the mesiobuccal root with Vertucci's Type XXI (4-1) pattern. The distobuccal root exhibited two canals with Vertucci's Type III (1-2-1) configuration. The palatal canal was single and large. A 4 year follow-up revealed satisfactory clinical and radiographic findings. Magnification and CBCT allow us to explore possible anatomic variations with insights to tackle such situations clinically.


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