Journal of Conservative Dentistry
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Year : 2022  |  Volume : 25  |  Issue : 5  |  Page : 569-572

Endodontic management of maxillary first molar with unusual anatomy

Department of Conservative Dentistry and Endodontics, Army College of Dental Sciences, Hyderabad, Telangana, India

Correspondence Address:
Dr. Madhuri Sai Battula
Army College of Dental Sciences, CRPF Road, Jai Jawahar Nagar Post, Hyderabad - 500 087, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcd.jcd_266_22

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This article reports nonsurgical endodontic management of bilateral maxillary first molars with an unusual morphology of a single root and a Sert and Bayirli type-IX canal configuration. A 41-year-old female reported with dull continuous pain in the maxillary left and right quadrants. On clinical examination, the maxillary first molars on both sides were carious with pulpal exposure and radiographic evaluation revealed an unusual anatomy of single root and single canal for both of them. Based on clinical and radiographic examination, tooth numbers 16 and 26 were diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis. Root canal treatment was initiated and cone-beam computed tomography (CBCT) imaging was advised on encountering unusual internal anatomy. The CBCT images revealed the presence single root and a Sert and Bayirli type-IX canal configuration bilaterally. Root canal treatment was performed under magnification using the dental operating microscope.

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