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Weird anatomy - courtesy roots| The opinions and photographs within this web page are not ours. Authors have been credited for the individual posts where they are. - www.rxroots.com Photos courtesy of Marga Ree |
From:Marga Ree Sent: Tuesday, January 24, 2006 2:28 PM To: ROOTS Subject: [roots] Weird anatomy 2nd max molar This 17 year old boy complained about sensitivity in the ULQ, area 26-27. His dentist started a root canal treatment in 26, but his complaints didn't subside. Then the boy was referred to a periodontist, because of a deep pocket buccal of 27. Fortunately, the periodontist noticed a radiolucency being present on 27, and found that the tooth was not responding to thermal tests. She referred the patient to me for a rct on 27. At first I thought it was a double tooth, it looked like a gemination, but later on, I thought it might be a large tuberculum paramolare. Anyway, the root canal system was kind of a C shape configuration, with a deep groove between the buccal and the palatal canal, and a fin connecting the canals.Ca(OH)2 for 1 month, and the pocket had completely disappeared. Six months follow-up rads show resolution of the lesion. What a great pity of the unnecessary endo in 26.............Marga
You get the fun ones marga. Do you think there is an possibility those 3 extra cusps may have their own system. That’s a lot of bulk of tooth structure to be avascular. Obviously, 6 months healing is a good sign. - Gary Good point Gary, I was thinking the same when I treated this tooth. During treatment, I looked whether I could see signs of such a separate system, or maybe a connection with the main rc system, but I failed to identify this. I decided to wait for signs of healing, which occurred already after the first visit. If this would not have happened, I was prepared to go back in.- Marga I knew you would be. 5 months and counting! - Gary
