Journal of Endodontics
Volume 36, Issue 3 , Pages 542-545, March 2010

Identification of Independent Middle Mesial Canal in Mandibular First Molar Using Cone-Beam Computed Tomography Imaging

  • Sung-Ho La, DDS, MS

      Affiliations

    • Seoul-Miso Dental Clinic, School of Dentistry, Wonkwang University, Iksan, South Korea
  • ,
  • Dong-Ho Jung, DDS, MS

      Affiliations

    • Department of Conservative Dentistry, School of Dentistry, Wonkwang University, Iksan, South Korea
  • ,
  • Eun-Cheol Kim, DDS, PhD

      Affiliations

    • Department of Oral and Maxillofacial Pathology, School of Dentistry, Wonkwang University, Iksan, South Korea
  • ,
  • Kyung-San Min, DDS, PhD

      Affiliations

    • Department of Conservative Dentistry, School of Dentistry, Wonkwang University, Iksan, South Korea
    • Corresponding Author InformationAddress requests for reprints to Dr Kyung-San Min, Department of Conservative Dentistry, School of Dentistry, Wonkwang University, 344-2 Shinyong, Iksan, South Korea 570-749.

published online 18 January 2010.

Abstract 

Introduction

The root canal treatment of a mandibular molar with aberrant canal configuration can be diagnostically and technically challenging.

Methods

This case report presents the clinical management of a mandibular first molar with three separate mesial canals including middle mesial canal, which was confirmed by cone-beam computed tomography (CBCT) images.

Results

Posttreatment images revealed three independent root canals in the mesial root obturated efficiently to the accepted lengths in all three canals.

Conclusion

This case report highlights the usefulness of CBCT imaging for accurate diagnosis and management of the unusual canal morphology.

Key Words: Cone beam computed tomography imaging, mandibular molar, middle mesial canal

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 This paper was supported by Wonkwang University in 2010.

PII: S0099-2399(09)00951-0

doi:10.1016/j.joen.2009.11.008

Journal of Endodontics
Volume 36, Issue 3 , Pages 542-545, March 2010