Endodontic treatment of premolars with three root canals: case series
DOI:
https://doi.org/10.33448/rsd-v11i3.26590Keywords:
Premolar; Root canal; Anatomical variation.Abstract
The present study aims to report a series of clinical cases of endodontic treatment of maxillary and mandibular premolar teeth with three root canals, with the aid of magnification and modern operative techniques of endodontic therapy.The endodontic treatment of these teeth was based on a careful radiographic evaluation and the access was performed with the use of magnification, which allowed the location of the holes in the root canals and the conduction of the endodontic treatment. The chemical-mechanical preparation was performed with mechanized nickel-titanium instruments (X1-Blue) associated with 2.5% sodium hypochlorite irrigating solution. As an auxiliary protocol in the final cleaning, a passive ultrasonic irrigation (PUI) was performed. At the end, the technique of filling with a single cone associated with the endodontic sealer was used. The presence of three root canals in premolars has a low prevalence, however, it is extremely important for the professional to know about the possible anatomical variations, since this can influence the success of endodontic treatment. Given the limitations, the correct management of these cases can be attributed to a good radiographic evaluation, the use of magnification and clinical criteria that, together, helped to obtain the best possible result.
References
Abu Hasna, A., Pereira Da Silva, L., Pelegrini, F. C., Ferreira, C., de Oliveira, L. D., & Carvalho, C. (2020). Effect of sodium hypochlorite solution and gel with/without passive ultrasonic irrigation on Enterococcus faecalis, Escherichia coli and their endotoxins. F1000Research, 9, 642. https://doi.org/10.12688/f1000research.24721.1
AlRahabi, M. K., & Ghabbani, H. M. (2019). Endodontic management of a three-rooted maxillary premolar: A case report. Journal of Taibah University Medical Sciences, 14(3), 312–316. https://doi.org/10.1016/j.jtumed.2019.04.003
Asheghi, B., Momtahan, N., Sahebi, S., & Zangoie Booshehri, M. (2020). Morphological Evaluation of Maxillary Premolar Canals in Iranian Population: A Cone-Beam Computed Tomography Study. Journal of dentistry, 21(3), 215–224. https://doi.org/10.30476/DENTJODS.2020.82299.1011
Awawdeh, L. A., & Al-Qudah, A. A. (2008). Root form and canal morphology of mandibular premolars in a Jordanian population. International endodontic journal, 41(3), 240–248. https://doi.org/10.1111/j.1365-2591.2007.01348.x
Buchanan, G. D., Gamieldien, M. Y., Tredoux, S., & Vally, Z. I. (2020). Root and canal configurations of maxillary premolars in a South African subpopulation using cone beam computed tomography and two classification systems. Journal of oral science, 62(1), 93–97. https://doi.org/10.2334/josnusd.19-0160
Calefi P, H, S., Osaki R,B., Evedove N, F, D., Cruz V, M., Andrade F, B., & Alcalde M, P. (2020). Resistência à fadiga cíclica e torcional dos instrumentos reciprocantes W File e X1 Blue File. Dental Press Endodontic 10(2):60-6. https://doi.org/10.14436/2358-2545.10.2.060-066.oar
Chávez-Andrade G,M., Guerreiro-Tanomaru J, M., Miano L, M., Leonardo R, T., & Tanomaru-Filho M.(2014) Radiographic evaluation of root canal cleaning, main and laterals, using different methods of final irrigation. Revista de odontologia da UNESP (Online).;43(5):333-7. http://dx.doi.org/10.1590/rou.2014.053
de Lima, C. O., de Souza, L. C., Devito, K. L., do Prado, M., & Campos, C. N. (2019). Evaluation of root canal morphology of maxillary premolars: a cone-beam computed tomography study. Australian endodontic jornal 45(2), 196–201. https://doi.org/10.1111/aej.12308
Dioguardi, M., Gioia, G. D., Illuzzi, G., Laneve, E., Cocco, A., & Troiano, G. (2018). Endodontic irrigants: Different methods to improve efficacy and related problems. European journal of dentistry, 12(3), 459–466. https://doi.org/10.4103/ejd.ejd_56_18
Estrela, C., Bueno, M. R., Couto, G. S., Rabelo, L. E., Alencar, A. H., Silva, R. G., Pécora, J. D., & Sousa-Neto, M. D. (2015). Study of Root Canal Anatomy in Human Permanent Teeth in A Subpopulation of Brazil's Center Region Using Cone-Beam Computed Tomography - Part 1. Brazilian dental journal, 26(5), 530–536. https://doi.org/10.1590/0103-6440201302448
Guimarães G, F. , Izelli T, F. , Bastos H, J, S. , Mello C, C., Souza J, B., & Alves R, A, A. (2020). Magnification and its influence on endodontic treatment. Brazilian Journal of Surgery and Clinical Research. Brazilian Journal of Surgery and Clinical Research – BJSCR. 30(2). 65-70.
Hajihassani, N., Roohi, N., Madadi, K., Bakhshi, M., & Tofangchiha, M. (2017). Evaluation of root canal morphology of mandibular first and second premolars using cone beam computed tomography in a defined group of dental patients in iran. Scientifica, 2017, 1–7. 10.1155/2017/1504341
Jain, M., Singhal, A., Gurtu, A., & Vinayak, V. (2015). Influence of Ultrasonic Irrigation and Chloroform on Cleanliness of Dentinal Tubules During Endodontic Retreatment-An Invitro SEM Study. Journal of clinical and diagnostic research: JCDR, 9(5), ZC11–ZC15. https://doi.org/10.7860/JCDR/2015/12127.5864
Jang, Y. E., Kim, Y., Kim, B. Kim S. Y., & Kim H, J. (2019). Frequência de canais não únicos em pré-molares inferiores e correlações com outras variantes anatômicas: estudo in vivo de tomografia computadorizada de feixe cônico. BMC Saúde Bucal 19, 272. https://doi.org/10.1186/s12903-019-0972-5
Kato, A. S., Cunha, R. S., da Silveira Bueno, C. E., Pelegrine, R. A., Fontana, C. E., & de Martin, A. S. (2016). Investigation of the Efficacy of Passive Ultrasonic Irrigation Versus Irrigation with Reciprocating Activation: An Environmental Scanning Electron Microscopic Study. Journal of endodontics, 42(4), 659–663. https://doi.org/10.1016/j.joen.2016.01.016
Khademi, A., Mehdizadeh, M., Sanei, M., Sadeqnejad, H., & Khazaei, S. (2017). Comparative evaluation of root canal morphology of mandibular premolars using clearing and cone beam computed tomography. Dental research journal, 14(5), 321–325. https://doi.org/10.4103/1735-3327.215964
Khaord, P., Amin, A., Shah, M. B., Uthappa, R., Raj, N., Kachalia, T., & Kharod, H. (2015). Effectiveness of different irrigation techniques on smear layer removal in apical thirds of mesial root canals of permanent mandibular first molar: A scanning electron microscopic study. Journal of conservative dentistry, 18(4), 321–326. https://doi.org/10.4103/0972-0707.159742
Kirchhoff, H. M., Cunha, V. M., Kirchhoff, A. L., Mendes, R. T., Mello, A. M. D. (2018). Instrumentação reciprocante: revisão de literatura. Revista gestão e saúde;18(1):1-14. filedc6f5986b2935709426da6101ef44a5a.pdf
Klymus, M. E., Alcalde, M. P., Vivan, R. R., Só, M., de Vasconselos, B. C., & Duarte, M. (2019). Effect of temperature on the cyclic fatigue resistance of thermally treated reciprocating instruments. Clinical oral investigations, 23(7), 3047–3052. https://doi.org/10.1007/s00784-018-2718-1
Lee, S. J., Wu, M. K., & Wesselink, P. R. (2004). The effectiveness of syringe irrigation and ultrasonics to remove debris from simulated irregularities within prepared root canal walls. International endodontic journal, 37(10), 672–678. https://doi.org/10.1111/j.1365-2591.2004.00848.x
Lima L. C., Cornélio A. L. G. (2020). Instrumentação com sistema reciprocante: revisão de Literatura. R Odontol Planal Cent, 19(1): 1-17. https://dspace.uniceplac.edu.br/handle/123456789/482
Liu, X., Gao, M., Ruan, J., & Lu, Q. (2019). Root Canal Anatomy of Maxillary First Premolar by Microscopic Computed Tomography in a Chinese Adolescent Subpopulation. BioMed research international, 4327046. https://doi.org/10.1155/2019/4327046
Lopes, H. P., Siqueira, J. J. F. (2015). Endodontia: biologia e técnica. (3a ed.), Guanabara Koogan.
Mancini, M., Cerroni, L., Iorio, L., Armellin, E., Conte, G., & Cianconi, L. (2013). Smear layer removal and canal cleanliness using different irrigation systems (EndoActivator, EndoVac, and passive ultrasonic irrigation): field emission scanning electron microscopic evaluation in an in vitro study. Journal of endodontics, 39(11), 1456–1460. https://doi.org/10.1016/j.joen.2013.07.028
Martins, C. M., De Souza Batista, V. E., Andolfatto Souza, A. C., Andrada, A. C., Mori, G. G., & Gomes Filho, J. E. (2019). A cinemática recíproca leva a menores incidências de dor pós-operatória do que a cinemática rotatória após o tratamento endodôntico: uma revisão sistemática e meta-análise de estudo controlado randomizado. Jornal de odontologia conservadora, 22 (4), 320-331. https://doi.org/10.4103/JCD.JCD_439_18
Moshfeghi, M., Sajadi, S. S., Sajadi, S., & Shahbazian, M. (2013). Conventional versus digital radiography in detecting root canal type in maxillary premolars: an in vitro study. Journal of dentistry, 10(1), 74–81.
Muhammad, O. H., Chevalier, M., Rocca, J. P., Brulat-Bouchard, N., & Medioni, E. (2014). Photodynamic therapy versus ultrasonic irrigation: interaction with endodontic microbial biofilm, an ex vivo study. Photodiagnosis and photodynamic therapy, 11(2), 171–181. https://doi.org/10.1016/j.pdpdt.2014.02.005
Nair, R., Khasnis, S., & Patil, J. D. (2019). Bilateral taurodontism in permanent maxillary first molar. Indian journal of dental research, 30(2), 314–317. https://doi.org/10.4103/ijdr.IJDR_770_17
Paul, B., & Dube, K. (2018). Endodontic management of mandibular second premolar with three canals (1957). Clujul medical, 91(2), 234–237. https://doi.org/10.15386/cjmed-875
Pereira F. M., (2017). Radiologia odontológica e imaginologia. (2a ed.), Santos editora.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm. br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf
Plotino, G., Cortese, T., Grande, N. M., Leonardi, D. P., Di Giorgio, G., Testarelli, L., & Gambarini, G. (2016). New Technologies to Improve Root Canal Disinfection. Brazilian dental journal, 27(1), 3–8. https://doi.org/10.1590/0103-6440201600726
Plotino, G., Grande, N. M., Mercade, M., Cortese, T., Staffoli, S., Gambarini, G., & Testarelli, L. (2019). Efficacy of sonic and ultrasonic irrigation devices in the removal of debris from canal irregularities in artificial root canals. Journal of applied oral science, 27, e20180045. https://doi.org/10.1590/1678-7757-2018-0045
Prada, I., Micó-Muñoz, P., Giner-Lluesma, T., Micó-Martínez, P., Collado-Castellano, N., & Manzano-Saiz, A. (2019). Influence of microbiology on endodontic failure. Literature review. Medicina oral, patologia oral y cirugia bucal, 24(3), e364–e372. https://doi.org/10.4317/medoral.22907
Rodrigues I. Q. R., Frota M. M. A., & Frota L. M. A. (2016). Use of passive ultrasonic irrigation as an enhancement measure in disinfection of the root canal system - literature review. Revista brasileira de odontologia, 73(4), 320-4. http://dx.doi.org/10. 18363/rbo.v73n4.p.320
Saber, S., Ahmed, M., Obeid, M., & Ahmed, H. (2019). Root and canal morphology of maxillary premolar teeth in an Egyptian subpopulation using two classification systems: a cone beam computed tomography study. International endodontic journal, 52(3), 267–278. https://doi.org/10.1111/iej.13016
Sierra-Cristancho, A., González-Osuna, L., Poblete, D., Cafferata, E. A., Carvajal, P., Lozano, C. P., & Vernal, R. (2021). Micro-tomographic characterization of the root and canal system morphology of mandibular first premolars in a Chilean population. Scientific reports, 11(1), 93. https://doi.org/10.1038/s41598-020-80046-1
Silva, E., Oliveira de Lima, C., Vieira, V., Antunes, H., Lima Moreira, E. J., & Versiani, M. (2020). Cyclic Fatigue and Torsional Resistance of Four Martensite-Based Nickel Titanium Reciprocating Instruments. European endodontic journal, 5(3), 231–235. https://doi.org/10.14744/eej.2020.16878
Sousa Lima, S., Sousa Dias, M. (2020). Microscopia na endodontia: a importância do microscópio operatório na endodontia. Revista Cathedral, 2(1). Recuperado de http://cathedral.ojs.galoa.com.br/index.php/cathedral/article/view/39
Souza, C. C., Bueno, C. E., Kato, A. S., Limoeiro, A. G., Fontana, C. E., & Pelegrine, R. A. (2019). Efficacy of passive ultrasonic irrigation, continuous ultrasonic irrigation versus irrigation with reciprocating activation device in penetration into main and simulated lateral canals. Journal of conservative dentistry, 22(2), 155–159. https://doi.org/10.4103/JCD.JCD_387_18
Wu, D., Hu, D. Q., Xin, B. C., Sun, D. G., Ge, Z. P., & Su, J. Y. (2020). Root canal morphology of maxillary and mandibular first premolars analyzed using cone-beam computed tomography in a Shandong Chinese population. Medicine, 99(20), e20116. https://doi.org/10.1097/MD.0000000000020116
Zurawski, A. L., Lambert, P., Solda, C., Zanesco, C., Reston, E. G., & Barletta, F. B. (2018). Mesiolingual Canal Prevalence in Maxillary First Molars assessed through Different Methods. The journal of contemporary dental practice, 19(8), 959–963
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Marina Fontenele Oliveira ; Yanne Beatriz Soares Tomaz de Oliveira; Marcelle Melo Magalhães; Maria Larissa Pontes Magalhães ; Bruno Carvalho de Vasconcelos; Francisca Lívia Parente Viana
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
