Atypical anatomy of premolars in Saudi population, It's prevalence and treatment: A case report series
Main Article Content
Keywords
anatomy, population, typical, radiographically, system
Abstract
The anatomical variations of canal configuration is a challenging clinical situation, both at the diagnostic and treatment levels. The present case series aims to describe the management of mandibular and maxillary premolars with extra roots and different anatomy configurations. Five Saudi patients were referred to the Endodontic department for the management of mandibular and maxillary premolars that appeared unusual radiographically. To negotiate, clean, and shape the root canal system, modern endodontic tools such as a dental operating microscope and nickel-titanium files were used. A follow-up period ranging from 6 months to 1 year revealed ongoing periapical healing of premolars with lesions, while the premolars without periapical lesions were free of any signs and symptoms with normal apical tissues.
References
2. Alfawaz H., Alqedairi A., Al-Dahman Y. H., et al. Evaluation of root canal morphology of mandibular premolars in a Saudi population using cone beam computed tomography: a retrospective study. The Saudi Dental Journal 2019; 31(1):137–142.
3. Mashyakhy M. Anatomical Evaluation of Maxillary Premolars in a Saudi Population: An In Vivo Cone-beam Computed Tomography Study. J Contemp Dent Pract. 2021; 22(3):284-289.
4. Gulabivala, K., Aung, T.H., Alavi, A., Ng, Y.L. Root and canal morphology of Burmese mandibular molars. Int. Endod. J 2001; 34 (5): 359–370.
5. Elkady AM, Allouba K. Cone beam computed tomographic analysis of root and canal morphology of maxillary premolars in Saudi subpopulation. Egyptian Dent J 2013; 59: 3419-29.
6. Atieh MA. Root and canal morphology of maxillary first premolars in a Saudi population. J Contemp Dent Pract 2008; 9: 46-53.
7. Seif R, Gomaa M, Bahammam L. Incidence of three-rooted maxillary premolars in Saudi inhabitants and their clinical significance. Saudi Dent J 2008; 20(SI): Absr. 018.
8. Ahmad IA. Root and root canal morphology of Saudi Arabian permanent dentition. Saudi Endod J 2015; 5: 99-106.
9. Al-Nazhan S, Al-Daafas A, Al-Maflehi N. Radiographic investigation of in vivo endodontically treated maxillary premolars in a Saudi Arabian sub-population. Saudi Endod J 2012; 2: 1-5.
10. Zaatar EI, al‐Kandari AM, Alhomaidah S, al‐Yasin IM. Frequency of endodontic treatment in Kuwait: Radiographic evaluation of 846 endodontically treated teeth. J Endod1997; 23: 453-6.
11. Deng D, Zhang M, Wu W. The morphology study of root canal system of permanent teeth. Sichuan J Anat 2004; 12: 226.
12. Kararia N, Chaudhary A, Kararia V. Mandibularleft first premolar with two roots: A morphological oddity. Contemp ClinDent 2012; 3: 234-6.
13. Bahareh D, Zohreh K, Solaleh S. Endodontic Treatment of maxillary first premolar with type IV buccal root canal: A case report. IEJ 2009; 3(1): 35-36
14. Pitt Ford TR. Harty’s Endodontics in clinical practice. Elsevier limited. 5th edn 2004 pg 17
15. Fishel D, Tamse A. Dentists’ mistakes in making correct radiographic diagnosis. Quintessence Int 1978; 6: 59-64.
16. Ingle JI, Walton RE, Lambert GL, Lambert C, Taintor JF, Zidell JD, Beveridge EE. Preparation for endodontic therapy In: Ingle JI (ed) Endodontics. 3rd ed. Philadelphia: Lea&Febiger; 1985: 54-101.
17. J.I.Ingle,L.K.Bakland,andJ.C.Baumgartner,Ingle’sEndodon- tics, BC Decker, Ontario, Canada, 6th edition, 2007.
18. P. A. Brunton, D. Abdeen, and T. V. MacFarlane, The effect of an apex locator on exposure to radiation during endodontic therapy. J Endod 2002; 28, 524–526.
19. D. Albuquerque, J. Kottoor, and M. Hammo, “Endodontic and clinical considerations in the management of variable anatomy in mandibular premolars: a literature review,” BioMed Research International 2014; 2014:1-11.
20. T. Ro ̈dig, S. Vogel, A. Zapf, and M. Hu ̈lsmann, Efficacy of different irrigants in the removal of calcium hydroxide from root canals, Int Endod J 2010; 43 (6), 519–527.
21. J. Margelos, G. Eliades, C. Verdelis, and G. Palaghias, “Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: a potential clinical problem. J Endod 1997; 23, (1): 43-48.
22. H. W. Hermann and M. Hu ̈lsmann, “Problems of root canal obturation,” in Problems in Endodontics-Etiology, Diagnosis and Treatment, M. Hu ̈lsmann and E. Scha ̈fer, Eds., pp. 293–333, Quintessence Publishing, London, UK, 1 edition, 2009.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.