Mandibular Kanin Dişlerde Nadir Görülen Karmaşık Kanal Morfolojilerinin Endodontik Yönetimi: Tip II ve Tip V Morfoloji Senaryoları
Öz
Endodontik tedavinin başarısı, değişken ve karmaşık diş morfolojisi hakkında kapsamlı şekilde bilgi sahibi olunmasına bağlıdır. Tedavi sonrası başarısızlığı önlemek için kök kanal morfolojisinin doğru bir şekilde anlaşılması gereklidir. Mandibular kanin dişlerinde genellikle Vertucci Tip I morfolojisine sahip tek kanal bulunur. Daha az sıklıkla iki kanal ve diğer Vertucci morfolojileri görülür. Bu komplike morfolojilerin anlaşılması için açılı periapikal radyografik görüntülerin doğru yorumlanması, iyi oluşturulmuş giriş kavitesi, aydınlatmalı büyütme araçlarının kullanılması temel adımlardır. Bu vaka serisi, kök kanal tedavisinin başarılı bir şekilde gerçekleştirilmesinde anatomik varyasyonların tanınmasının önemini göstermektedir. Kök kanal tedavisi uyguladığımız mandibular kanin dişlerinde, Vertucci Tip II ve Tip V kanal morfolojilerine sahip üç vakanın yönetimi açıklanmakta ve gösterilmektedir.
Anahtar Kelimeler
Anatomik varyasyonlar Kök kanal anatomisi Endodontik yönetim Endodontik tedavi
Etik Beyan
Olgu sunumu için hastadan yazılı onam alındı ve hastaya gerekli bilgiler verildi. Araştırma Helsinki Bildirgesi İlkeleri'ne uygun olarak yürütüldü.
Kaynakça
- Altunsoy M, Ok E, Nur BG, Aglarci OS, Gungor E, Colak M. 2014. A cone-beam computed tomography study of the root canal morphology of anterior teeth in a Turkish population. Eur J Dent, 08(03): 302-306.
- Amardeep NS, Raghu S, Natanasabapathy V. 2014. Root canal morphology of permanent maxillary and mandibular canines in Indian population using cone beam computed tomography. Anatom Res Int, 2014: 31859.
- Aminsobhani M, Sadegh M, Meraji N, Razmi H, Kharazifard MJ. 2013. Evaluation of the root and canal morphology of mandibular permanent anterior teeth in an Iranian population by cone-beam computed tomography. J Dent, 10(4): 358-366.
- Arora V, Nikhil V, Gupta J. 2013. Mandibular canine with two root canals-an unusual. Int J Stomatol Res, 2(1): 1-4.
- Calışkan MK, Pehlivan Y, Sepetçioğlu F, Türkün M, Tuncer SS. 1995. Root canal morphology of human permanent teeth in a Turkish population. J Endod, 21(4): 200-204.
- Candeiro GTM, Monteiro Dodt Teixeira IM, Olimpio Barbosa DA, Vivacqua-Gomes N, Alves FRF. 2021. Vertucci's root canal configuration of 14,413 mandibular anterior teeth in a Brazilian population: A Prevalence study using cone-beam computed tomography. J Endod, 47(3): 404-408.
- Doumani M, Habib A, Alhenaky MA, Alotaibi KSH, Alanazi MS, Alsalhani A. 2019. Root canal treatment of mandibular canine with two root canals: A case report series. J Family Med Prim Care, 8(11): 3763-3765.
- Endo MS, Ferraz CCR, Zaia AA, Almeida JFA, Gomes BPFA. 2013. Quantitative and qualitative analysis of microorganisms in root-filled teeth with persistent infection: Monitoring of the endodontic retreatment. Eur J Dent, 7(3): 302-309. https://doi.org/10.4103/1305-7456.115414
- Fernández-Pazos G, Martín-Biedma B, Varela-Patiño P, Ruíz-Piñón M, Castelo-Baz P. 2018. Fracture and deformation of ProTaper Next instruments after clinical use. J Clin Exp Dent, 10(11): e1091-e1095. https://doi.org/10.4317/jced.54910
- Han T, Ma Y, Yang L, Chen X, Zhang X, Wang Y. 2014. A study of the root canal morphology of mandibular anterior teeth using cone-beam computed tomography in a Chinese subpopulation. J Endod, 40(9): 1309-1314.
- Hiraiwa T, Ariji Y, Fukuda M, Kise Y, Nakata K, Katsumata A, Fujita H, Ariji E. 2019. A deep-learning artificial intelligence system for assessment of root morphology of the mandibular first molar on panoramic radiography. Dento Maxillo Facial Radiol, 48(3): 20180218. https://doi.org/10.1259/dmfr.20180218
- Jain R, Mala K, Shetty N, Bhimani N, Kamath PM. 2022. Endodontic management of mandibular anterior teeth and premolars with Vertucci's Type VIII canal morphology: A rare case. J Conserv Dent, 25(2): 197-201.
- Karobari MI, Adil AH, Basheer SN, Murugesan S, Savadamoorthi KS, Mustafa M, Abdulwahed A, Almokhatieb AA. 2023. Evaluation of the diagnostic and prognostic accuracy of artificial ıntelligence in endodontic dentistry: A comprehensive review of literature. Comput Math Meth Medic, 2023: 7049360. https://doi.org/10.1155/2023/7049360
- Koroth S, Ponnappa KC, Simon EP, Bharath S, Vivek VJ, Raveendran C. 2021. Evaluation of Root dentinal damage associated with protaper gold, waveone gold, and protaper next during cleaning and shaping procedures: An ın vitro analysis. J Pharm Bioallied Sci, 13(Suppl 2): S1098-S1101. https://doi.org/10.4103/jpbs.jpbs_374_21
- Kulkarni NR, Kamat SB, Hugar SI, Nanjannawar GS. 2016. Mandibular canine with two roots and two root canals - A rare case. J Clin Diagn Res, 10(9): Zj07-Zj08.
- Kulkarni V, Duruel O, Ataman-Duruel ET, Tözüm MD, Nares S, Tözüm TF. 2020. In-depth morphological evaluation of tooth anatomic lengths with root canal configurations using cone beam computed tomography in North American population. J Appl Oral Sci, 28,: e20190103.
- Martins JNR, Marques D, Mata A, Caramês J. 2017. Root and root canal morphology of the permanent dentition in a Caucasian population: a cone-beam computed tomography study. Int Endod J, 50(11): 1013-1026.
- 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
- Roy DK, Cohen S, Singh VP, Marla V, Ghimire S. 2018. Endodontic management of mandibular canine with two roots and two canals: a rare case report. BMC Res Notes, 11(1): 111.
- Sert S, Bayirli GS. 2004. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod, 30(6): 391-398.
- Soleymani A, Namaryan N, Moudi E, Gholinia A. 2017. Root canal morphology of mandibular canine in an Iranian population: A CBCT assessment. Iran Endod J, 12(1): 78-82.
- Song M, Kim HC, Lee W, Kim E. 2011. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endo, 37(11): 1516-1519. https://doi.org/10.1016/j.joen.2011.06.032
- Tabassum S, Khan FR. 2016. Failure of endodontic treatment: The usual suspects. Eur J Dent, 10(1): 144-147.
- Uygun AD, Kol E, Topcu MK, Seckin F, Ersoy I, Tanriver M. 2016. Variations in cyclic fatigue resistance among ProTaper gold, ProTaper next and ProTaper universal instruments at different levels. Int Endod J, 49(5): 494-499. https://doi.org/10.1111/iej.12471
- Vertucci FJ. 1974. Root canal anatomy of the mandibular anterior teeth. J Am Dent Assoc, 89(2): 369-371.
Endodontic Management of Rare Complex Canal Morphologies in Mandibular Canines: Type II and Type V Morphology Scenarios
Öz
The success of endodontic treatment depends on a thorough knowledge of the variable and complex tooth morphology. An accurate understanding of root canal morphology is essential to prevent post-treatment failure. Mandibular canines usually have one canal with Vertucci Type I morphology. Less commonly, two canals and other Vertucci morphologies are observed. Correct interpretation of angled periapical radiographic images, a well-formed access cavity, and the use of illuminated magnification tools are essential steps in understanding these complex morphologies. This case series illustrates the importance of recognizing anatomical variations in the successful of root canal treatment. The management of three cases with Vertucci's Type II and Type V canal morphologies in mandibular canines that we performed root canal treatment is described and illustrated.
Anahtar Kelimeler
Anatomic variations Root canal anatomy Endodontic management Endodontic therapy
Kaynakça
- Altunsoy M, Ok E, Nur BG, Aglarci OS, Gungor E, Colak M. 2014. A cone-beam computed tomography study of the root canal morphology of anterior teeth in a Turkish population. Eur J Dent, 08(03): 302-306.
- Amardeep NS, Raghu S, Natanasabapathy V. 2014. Root canal morphology of permanent maxillary and mandibular canines in Indian population using cone beam computed tomography. Anatom Res Int, 2014: 31859.
- Aminsobhani M, Sadegh M, Meraji N, Razmi H, Kharazifard MJ. 2013. Evaluation of the root and canal morphology of mandibular permanent anterior teeth in an Iranian population by cone-beam computed tomography. J Dent, 10(4): 358-366.
- Arora V, Nikhil V, Gupta J. 2013. Mandibular canine with two root canals-an unusual. Int J Stomatol Res, 2(1): 1-4.
- Calışkan MK, Pehlivan Y, Sepetçioğlu F, Türkün M, Tuncer SS. 1995. Root canal morphology of human permanent teeth in a Turkish population. J Endod, 21(4): 200-204.
- Candeiro GTM, Monteiro Dodt Teixeira IM, Olimpio Barbosa DA, Vivacqua-Gomes N, Alves FRF. 2021. Vertucci's root canal configuration of 14,413 mandibular anterior teeth in a Brazilian population: A Prevalence study using cone-beam computed tomography. J Endod, 47(3): 404-408.
- Doumani M, Habib A, Alhenaky MA, Alotaibi KSH, Alanazi MS, Alsalhani A. 2019. Root canal treatment of mandibular canine with two root canals: A case report series. J Family Med Prim Care, 8(11): 3763-3765.
- Endo MS, Ferraz CCR, Zaia AA, Almeida JFA, Gomes BPFA. 2013. Quantitative and qualitative analysis of microorganisms in root-filled teeth with persistent infection: Monitoring of the endodontic retreatment. Eur J Dent, 7(3): 302-309. https://doi.org/10.4103/1305-7456.115414
- Fernández-Pazos G, Martín-Biedma B, Varela-Patiño P, Ruíz-Piñón M, Castelo-Baz P. 2018. Fracture and deformation of ProTaper Next instruments after clinical use. J Clin Exp Dent, 10(11): e1091-e1095. https://doi.org/10.4317/jced.54910
- Han T, Ma Y, Yang L, Chen X, Zhang X, Wang Y. 2014. A study of the root canal morphology of mandibular anterior teeth using cone-beam computed tomography in a Chinese subpopulation. J Endod, 40(9): 1309-1314.
- Hiraiwa T, Ariji Y, Fukuda M, Kise Y, Nakata K, Katsumata A, Fujita H, Ariji E. 2019. A deep-learning artificial intelligence system for assessment of root morphology of the mandibular first molar on panoramic radiography. Dento Maxillo Facial Radiol, 48(3): 20180218. https://doi.org/10.1259/dmfr.20180218
- Jain R, Mala K, Shetty N, Bhimani N, Kamath PM. 2022. Endodontic management of mandibular anterior teeth and premolars with Vertucci's Type VIII canal morphology: A rare case. J Conserv Dent, 25(2): 197-201.
- Karobari MI, Adil AH, Basheer SN, Murugesan S, Savadamoorthi KS, Mustafa M, Abdulwahed A, Almokhatieb AA. 2023. Evaluation of the diagnostic and prognostic accuracy of artificial ıntelligence in endodontic dentistry: A comprehensive review of literature. Comput Math Meth Medic, 2023: 7049360. https://doi.org/10.1155/2023/7049360
- Koroth S, Ponnappa KC, Simon EP, Bharath S, Vivek VJ, Raveendran C. 2021. Evaluation of Root dentinal damage associated with protaper gold, waveone gold, and protaper next during cleaning and shaping procedures: An ın vitro analysis. J Pharm Bioallied Sci, 13(Suppl 2): S1098-S1101. https://doi.org/10.4103/jpbs.jpbs_374_21
- Kulkarni NR, Kamat SB, Hugar SI, Nanjannawar GS. 2016. Mandibular canine with two roots and two root canals - A rare case. J Clin Diagn Res, 10(9): Zj07-Zj08.
- Kulkarni V, Duruel O, Ataman-Duruel ET, Tözüm MD, Nares S, Tözüm TF. 2020. In-depth morphological evaluation of tooth anatomic lengths with root canal configurations using cone beam computed tomography in North American population. J Appl Oral Sci, 28,: e20190103.
- Martins JNR, Marques D, Mata A, Caramês J. 2017. Root and root canal morphology of the permanent dentition in a Caucasian population: a cone-beam computed tomography study. Int Endod J, 50(11): 1013-1026.
- 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
- Roy DK, Cohen S, Singh VP, Marla V, Ghimire S. 2018. Endodontic management of mandibular canine with two roots and two canals: a rare case report. BMC Res Notes, 11(1): 111.
- Sert S, Bayirli GS. 2004. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod, 30(6): 391-398.
- Soleymani A, Namaryan N, Moudi E, Gholinia A. 2017. Root canal morphology of mandibular canine in an Iranian population: A CBCT assessment. Iran Endod J, 12(1): 78-82.
- Song M, Kim HC, Lee W, Kim E. 2011. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endo, 37(11): 1516-1519. https://doi.org/10.1016/j.joen.2011.06.032
- Tabassum S, Khan FR. 2016. Failure of endodontic treatment: The usual suspects. Eur J Dent, 10(1): 144-147.
- Uygun AD, Kol E, Topcu MK, Seckin F, Ersoy I, Tanriver M. 2016. Variations in cyclic fatigue resistance among ProTaper gold, ProTaper next and ProTaper universal instruments at different levels. Int Endod J, 49(5): 494-499. https://doi.org/10.1111/iej.12471
- Vertucci FJ. 1974. Root canal anatomy of the mandibular anterior teeth. J Am Dent Assoc, 89(2): 369-371.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Endodonti |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Mayıs 2025 |
| Gönderilme Tarihi | 2 Ekim 2024 |
| Kabul Tarihi | 26 Şubat 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 8 Sayı: 3 |
