A Case Study on the Endodontic Treatment of Abberant Root Canal Morphology in the Maxillary First Molar with Seven Root Canals

Abstract

Background: This case study explains the peculiar shape of the first seven root canals of a
maxillary molar. On the second appointment, the seven canals (MB1, MB2, and MB3, 2 Palatal,
and DB1 and DB2) could be clearly seen at high magnification under an operating microscope in
the young male patient's maxillary right first molar. The patient had endodontic treatment. The
canals were obturated and instrumented thereafter. Every molar tooth has more than the customary
three canals, which should be noted. Under a strong magnification, the position of root canals
should be marked with a microscope. Finding any potentially missing canals requires a careful
radiographic re-examination of the fillings.
Case presentation: The main complaint received by the department of endodontics concerned a
24-year-old male patient who was experiencing pain in his right upper back tooth. The discomfort
did not go away and was worse in the heat. The patient also mentioned experiencing soreness at
night. The patient's medical history was irrelevant. Clinical examination revealed a deep, pressuresensitive carious lesion in the first tooth of the maxillary right. The electric pulp test revealed
inflammatory pulpal changes early on. During the radiographic examination, a radiolucent lesion
that reached the pulp on the distal part of the crown was found. There was root canal treatment.
Conclusion: Root varieties are rare, but that doesn't mean their importance should be minimised.
Reviewing radiographs and the internal structure of teeth in detail is essential.