Successful Root Canal Re-treatment of the Second Mandibular Premolar with type III of Vertucci Classification

Erma Sofiani, Erwin Setyawan

Abstract


Knowledge of the root canal system plays a significant role in avoiding the failure of root canal treatment. Premolar teeth may have several anatomical variations in their root canal system. A dentist must understand these root canal systems and their variation to conduct the appropriate treatment. The mandibular second premolar usually consists of a single root with a single root canal. The incidence of lower premolars with two or more root canals varied between 1.2% and 34%. This study aims to evaluate the success of root canal re-treatment of mandibular second premolars with type III Vertucci’s Classification. Case report: A 28-year-old woman visited our dental hospital with a pain sensation in her lower left premolar tooth. The subjective examination revealed that she had experienced pulp capping and root canal treatment last year. However, she felt pain and uncomfortable feeling on that treated tooth. A radiograph examination showed a radiopaque area from the crown edge to half of the root. The radiolucent area from the half tooth to the apical region showed root canal branching. The diagnosis for this tooth was previously treated teeth, asymptomatic apical periodontitis with type III of Vertucci’s Classification. Root Canal Treatment was done using crown down preparation technique and obturation with warm vertical condensation followed by class II composite resin composite as a temporary filling. Results showed that after three months of evaluation, the retreated-tooth condition kept showing good condition without any complaints, pain, or clinical abnormalities, suggesting it could function properly.

 


Keywords


crown-down technique; re-treatment; root canal treatment; vertucci’s classification

Full Text:

PDF

References


Karobari MI, Parveen A, Mirza MB, Makandar SD, Nik Abdul Ghani NR, Noorani TY, et al. Root and root canal morphology classification systems. Int J Dent. 2021;2021:1–6. http://dx.doi.org/10.1155/2021/6682189

Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58(5):589–99. http://dx.doi.org/10.1016/0030-4220(84)90085-9

Vertucci FJ. Root canal morphology of mandibular premolars. J Am Dent Assoc. 1978;97(1):47–50. http://dx.doi.org/10.14219/jada.archive.1978.0443

Molyvdas I, Digka A, Mikrogeorgis G. Root canal treatment of mandibular second premolars with three root canals: Report of four rare cases. Balkan J Dent Med. 2020;24(3):49–52. http://dx.doi.org/10.2478/bjdm-2020-0008

Kottoor J, Albuquerque D, Velmurugan N, Kuruvilla J. Root anatomy and root canal configuration of human permanent mandibular premolars: A systematic review. Anat Res Int. 2013;2013:1–14. http://dx.doi.org/10.1155/2013/254250

Thanaruengrong P, Kulvitit S, Navachinda M, Charoenlarp P. Prevalence of complex root canal morphology in the mandibular first and second premolars in Thai population: CBCT analysis. BMC Oral Health. 2021;21(1). http://dx.doi.org/10.1186/s12903-021-01822-7

Wolf TG, Anderegg AL, Wierichs RJ, Campus G. Root canal morphology of the mandibular second premolar: a systematic review and meta-analysis. BMC Oral Health. 2021;21(1). http://dx.doi.org/10.1186/s12903-021-01668-z

Martins JNR, Francisco H, Ordinola-Zapata R. Prevalence of C-shaped configurations in the mandibular first and second premolars: A cone-beam computed tomographic in vivo study. J Endod. 2017;43(6):890–5. http://dx.doi.org/10.1016/j.joen.2017.01.008

Ring J, Ring KC. Rare root canal configuration of mandibular second premolar using cone-beam computed tomographic scanning. J Endod. 2017;43(11):1897–900. http://dx.doi.org/10.1016/j.joen.2017.04.023

Baruwa AO, Martins JNR, Meirinhos J, Pereira B, Gouveia J, Quaresma SA, et al. The influence of missed canals on the prevalence of periapical lesions in endodontically treated teeth: A cross-sectional study. J Endod. 2020;46(1):34-39.e1. http://dx.doi.org/10.1016/j.joen.2019.10.007

Alshammari SM, Ganji KK, Albulayhid AA, Alshammari AM, Alhassan KHR, Alsirhani MAR. Prevalence of second root and root canal in mandibular and maxillary premolars based on two classification systems in sub-population of northern region (Saudi Arabia) assessed using Cone beam computed tomography (CBCT): A retrospective study. Diagnostics (Basel). 2023;13(3):498. http://dx.doi.org/10.3390/diagnostics13030498

Induja MP, Chokkattu JJ. Root canal morphology of mandibular premolars: CBCT analysis. Int J Health Sci (IJHS). 2022;11936–43. http://dx.doi.org/10.53730/ijhs.v6ns2.8222

Shah SA. Endodontic management of mandibular second premolar with Vertucci root canal configuration type V. Case Rep Dent. 2022;2022:1–7. http://dx.doi.org/10.1155/2022/3197393

Somalinga Amardeep N, Raghu S, Natanasabapathy V. Root canal morphology of permanent maxillary and mandibular canines in Indian population using cone beam computed tomography. Anat Res Int. 2014;2014:1–7. http://dx.doi.org/10.1155/2014/731859

Cleghorn BM, Christie WH, Dong CCS. The root and root canal morphology of the human mandibular first premolar: A literature review. J Endod. 2007;33(5):509–16. http://dx.doi.org/10.1016/j.joen.2006.12.004

From editor’s desk. Int J Epilepsy. 2016;03(01):001. http://dx.doi.org/10.1016/s2213-6320(16)30016-1

Arayasantiparb R, Banomyong D. Prevalence and morphology of multiple roots, root canals and C-shaped canals in mandibular premolars from cone-beam computed tomography images in a Thai population. J Dent Sci. 2021;16(1):201–7. http://dx.doi.org/10.1016/j.jds.2020.06.010

Rodríguez G, Patel S, Durán-Sindreu F, Roig M, Abella F. Influence of cone-beam computed tomography on endodontic retreatment strategies among general dental practitioners and endodontists. J Endod. 2017;43(9):1433–7. http://dx.doi.org/10.1016/j.joen.2017.04.004

C.J. Ruddle, Ch.8 Cleaning and Shaping Root Canal Systems, In S.Cohen and R.C. Burns : Pathway of the Pulp, pp. 231-291, 12th ed., Cohen and Burns, Mosby, St. Louis, 2021.

Chybowski EA, Glickman GN, Patel Y, Fleury A, Solomon E, He J. Clinical outcome of non-surgical root canal treatment using a single-cone technique with endosequence bioceramic sealer: A retrospective analysis. J Endod. 2018;44(6):941–5. http://dx.doi.org/10.1016/j.joen.2018.02.019

Kanmaz F, Altunbaş D, Zan R, Akpınar KE. Nonsurgical Endodontic Treatment of a Large Periradicular Lesion. Turk Endod J 2017;2(1):21–24 https://www.journalagent.com/tej/pdfs/TEJ_2_1_21_24.pdf




DOI: https://doi.org/10.18196/di.v13i1.16418

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva are indexed by:

 

Office:

Gedung Siti Walidah F3 4th Floor, Faculty of Dentistry Universitas Muhammadiyah Yogyakarta,
Jalan Brawijaya (Lingkar Selatan), Tamantirto, Kasihan, Bantul, Daerah Istimewa Yogyakarta, Indonesia
Phone: +62 274 387656 Ext.217
Email: jurnalkgumy@gmail.com
Website: http://journal.umy.ac.id/index.php/di/index

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 (CC BY-SA 4.0) International license.