AN ENDODONTIC TREATMENT OF A SECOND UPPER MOLAR WITH FOURFOLD ROOT: A CASE REPORT
The incidence of a second palatal root in the maxillary second molar is a very unusual anatomic variation. This case report describes a treatment of a fourfold root maxillary second molar with two distinct palatal roots. A clinical examination and radiographs showed the presence of a second palatal root with its own canal. After biomechanical preparation with ProTaper, a rotary file system, root canals were filled with ProTaper gutta-percha cones and number 25 accessory cones and TopSeal, a resin based cement. After treatment tooth was sealed with temporary cement and it’s referred for a final restoration.
How to Cite
License
Every single author of the articles has to declare that is an original unpublished work exclusively created by them, that it has not been submitted for simultaneous evaluation by another publication and that there is no impediment of any kind for concession of the rights provided for in the contract.
In this sense, the authors committed to await the result of the evaluation by the journal Revista Nacional de Odontologia before considering its submission to another medium; in case the response by that publication is positive, additionally, the authors committed to respond for any action involving claims, plagiarism or any other kind of claim that could be made by third parties.
At the same time, the authors have to declare that they are completely in agreement with the conditions presented in their work and that they cede all patrimonial rights. These rights involve reproduction, public communication, distribution, dissemination, transformation, making it available and all forms of exploitation of the work using any medium or procedure, during the term of the legal protection of the work and in every country in the world, to the Universidad Cooperativa de Colombia Press.
Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics. 2005; 10: 3-29.
Fava LR, Weinfeld I, Fabri FP, Pais CR. Four second molars with single roots and single canals in the same patient. Int Endod J. 2000; 33: 138-42.
Libfeld H, Rotstein I. Incidence of four-rooted maxillary second molars: literature review and radiographic survey of 1200 teeth. J Endod. 1989; 15: 129-31.
Baratto-Filho F, Fariniuk LF, Ferreira EI, Pecora JD, Cruz-Filho AM, Sousa-Neto MD. Clinical and macroscopic study of maxillary molars with two palatal roots. Int Endod J. 2002; 35: 796–801.
Barbizam JV, Ribeiro RG, Tanomaru Filho M. Unusual anatomy of permanent maxillary molars. J Endod. 2004; 30: 668–702.
Pecora JD, Woelfel JB, Sousa Neto MD, Issa EP. Morphology Study of the maxillary molars part 2: internal anatomy. Brazilian Dent J 1992; 3: 53-7.
Peikoff MD, Christie WH, Fogel HM. The maxillary second molar: variations in the number of roots and canals. Int Endod J. 1996; 29: 365-9.
Alani AH. Endodontic treatment of bilaterally occurring 4-rooted Maxillary second molars: case report. J Can DentAssoc. 2003; 69: 733-5.
Sewerin IP. Radiographic examination. Text book of endodontology. 1 st ed. Odder, Denmark: Narayana Press. 2003; 215-35.
Christie WH, Thompson GK. The importance of endodontic access in locating maxillary and mandibular molar canals. J Can Dent Assoc. 1994; 60: 527.
