Root canal Treatment of Vertucci’s type V three-canal mandibular second premolar with Endodontic microscope aid
Park Hyon-Beom, 이빈나, 장훈상, 황윤찬, 황인남, 오원만,
소속 상세정보
( Park Hyon-Beom ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
이빈나 ( Lee Bin-Na ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
장훈상 ( Chang Hoon-Sang ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
황윤찬 ( Hwang Yun-Chan ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
황인남 ( Hwang In-Nam ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
오원만 ( Oh Won-Mann ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
KMID : 1035020140150010030
Abstract
I. Introduction
The prevalence of Mandibular second premolar with three canals is very low and only a few cases have been reported. According to Zillich and Dowson, The prevalence of mandibular second premolar with three canals is only 0.4 % in U.S.A. population. Vertucci’s type V pulp configurations have dividing canals in middle or apical or root, and are known for its treatment difficulty due to limited canal access and limited illumination. The endodontic microscope allows us to perform better root canal treatment in difficult teeth with good illumination and magnification. This case report will present a successful root canal treatment of Vertucci’s type V three - canal mandibular second premolar with aid of Endodontic microscope.
II. Case Presentation
1. Sex / age : F / 22
2. Chief Complaint (C.C) : “ My Right lower tooth is decayed. The Local Dentist told me to visit a dental hospital. I had pain, but not now.”
3. Past Dental History (PDH) : Decayed state of distal wall of the tooth . Undergoing RCT.
4. Present Illness (P.I) : P/R(-), Mo(-), EPT(-).
5. Impression : pulp necrosis due to dental caries.
6. Tx plan : Root canal treatment on #45 with endodontic microscope aid.
III. Conclusion
Endodontic Microscope is a useful tool in difficult root canal treatment. The patient in this case did not have any clinical symptom or radiological sign after 6 months of root canal treatment. Difficult root canal treatment cases such as Vertucci’s type V three - canal mandibular second premolar can be successfully treated with endodontic microscope aid.
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