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Dilemmas pertaining to three canals in the mesiobuccal root of a maxillary second molar: a case report

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Ankit Arora, Shashi Rashmi Acharya, Muliya Vidya Saraswathi, Padmaja Sharma, Amber Ather,
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 ( Ankit Arora ) - Hospital and Oral Research Institute Manubhai Patel Dental College Department of Conservative Dentistry and Endodontics
 ( Shashi Rashmi Acharya ) - Manipal University Manipal College of Dental Sciences Department of Conservative Dentistry and Endodontics
 ( Muliya Vidya Saraswathi ) - Manipal University Manipal College of Dental Sciences Department of Conservative Dentistry and Endodontics
 ( Padmaja Sharma ) - Hospital and Oral Research Institute Manubhai Patel Dental College Department of Orthodontics and Dentofacial Orthopaedics
 ( Amber Ather ) - Manipal University Manipal College of Dental Sciences Department of Conservative Dentistry and Endodontics

Abstract


The mesiobuccal root of the maxillary molars is well known to pose a hindrance during endodontic therapy. Presented here is a case of a maxillary left second molar where three canals were located in its mesiobuccal root with the use of visual and diagnostic aids. Difficulties encountered during the process of unveiling the tooth's internal anatomy were discussed. The dilemmas encountered pertained to the root canal configuration, the nomenclature of the extra canals, and the justification for the presence of a third canal. The root canal configuration of 3-2-1 was confirmed for the mesiobuccal root using information gained from clinical, radiographic, and multi-detector computed tomography (MDCT) scan findings. This case demonstrates the need for efforts to locate extra canals in the mesiobuccal root of the maxillary molars as their internal anatomy remains a mystery.

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Canal configuration; Maxillary second molar; Mesiobuccal root; Multidetector computed tomography; Three canals

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