Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Jul 13;6(9):1735-1738.
doi: 10.1002/ccr3.1708. eCollection 2018 Sep.

Management of a failed endodontic treatment for a maxillary second molar with two separate palatal roots

Affiliations
Case Reports

Management of a failed endodontic treatment for a maxillary second molar with two separate palatal roots

Ahmed Al Qahtani et al. Clin Case Rep. .

Abstract

Complexity of root canal system and variations in internal anatomy of teeth require careful analysis of preoperative cone beam computed tomography or multiangle radiographs to locate and identify possible extra roots or canals. A fourth canal in upper molars is expected, and much effort should be made when planning the endodontic treatment to avoid missing a canal.

Keywords: anatomical variations; maxillary second molar; palatal roots; retreatment.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Teeth no: 26 and 27 Showed a Failed Endodontic Treatment with Poor Obturation and Missing Untreated Canals
Figure 2
Figure 2
Access Cavity of Tooth no 27 Showed Rhomboidal Outline with Four Canal Orifices
Figure 3
Figure 3
Working Length Determination of Tooth no 27
Figure 4
Figure 4
Master Apical Cone Radiograph
Figure 5
Figure 5
Access Cavity After Obturation Showed Canals Orifice Sealed with Gutta‐Percha
Figure 6
Figure 6
Postoperative Radiograph Showed Obturation of Both Teeth
Figure 7
Figure 7
Postoperative Radiograph after Place Cast Post And Coronal Restoration Using Zirconia Crown

References

    1. Barletta FB, Dotto SR, Reis Mde S, Ferreira R, Travassos RM. Mandibular molar with five root canals. Aust Endod J. 2008;343:129‐132. - PubMed
    1. Hartwell G, Appelstein CM, Lyons WW, Guzek ME. The incidence of four canals in maxillary first molars: a clinical determination. J Am Dent Assoc. 2007;13810:1344‐1346. - PubMed
    1. Stone LH, Stroner WF. Maxillary molars demonstrating more than one palatal root canal. Oral Surg Oral Med Oral Pathol. 1981;516:649‐652. - PubMed
    1. Libfeld H, Rotstein I. Incidence of four‐rooted maxillary second molars: literature review and radiographic survey of 1,200 teeth. J Endod. 1989;153:129‐131. - PubMed
    1. Christie WH, Peikoff MD, Fogel HM. Maxillary molars with two palatal roots: a retrospective clinical study. J Endod. 1991;172:80‐84. - PubMed

Publication types

LinkOut - more resources