Document Detail


Conventional root canal therapy of C-shaped mandibular second molar. A case report.
MedLine Citation:
PMID:  17203853     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The C-shaped root canal system and treatment implications were first described by Cooke and Cox in 1979. C-shaped canals are most frequently found in mandibular second molars, but they can occur in any mandibular molar, and they have been reported in maxillary molars as well. C-shaped mandibular molars are characterized by a C-shaped groove that connects one or more root canals. This groove can occur anywhere along the root canal system, making it difficult to diagnose and treat. A C-shaped root canal system may appear completely normal at the level of the pulp chamber but can begin to manifest itself in the middle or apical one-third. Furthermore, C-shaped canals are challenging if not impossible to predict radiographically. C-shaped canals in mandibular second molars are found most frequently in the Chinese population, with reports showing up to a 31.5% incidence, as compared to an approximate 7% incidence in the general population. This case report demonstrates an incidence of a C-shaped canal that was unable to be detected radiographically and which contained three separate root canals that communicated in the apical one-third of the root canal system. Canal orifices were located approximately 2 mm below the level of the CEJ, which is in agreement with a recent micro-computed tomography study of C-shaped mandibular molars that found 98% of all C-shaped molars studied had orifices located 1 mm to 3 mm below the CEJ. The CT study also found that all C-shaped canals contained fused roots and confirmed previous findings that the C-shape configuration varies greatly throughout the length of the canal.
Authors:
Evan A Lynn
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The New York state dental journal     Volume:  72     ISSN:  0028-7571     ISO Abbreviation:  N Y State Dent J     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2007-01-05     Completed Date:  2007-05-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0414634     Medline TA:  N Y State Dent J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  32-4     Citation Subset:  D; IM    
Affiliation:
NYU College of Dentistry, Department of Endodontics, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Dental Pulp Cavity / abnormalities*,  radiography
Female
Humans
Molar / abnormalities*,  radiography
Root Canal Therapy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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