Skip to main content Skip to main navigation menu Skip to site footer

Four rooted maxillary third molar: a case report of a rare clinical presentation

  • Babatunde O. Bamgbose ,
  • Mohammad A. Kaura ,
  • Anas I. Yahaya ,

Abstract

Objective: Maxillary molars are known to have three roots (two buccal and one palatal) and the occurrence of four-rooted maxillary molars is uncommon. Maxillary teeth with accessory roots have been classified into four categories based on root configurations. The presence of an accessory root may complicate an otherwise routine exodontia of the maxillary third molar, especially because of the proximity of the floor of the maxillary antrum and the maxillary tuberosity.Methods: A 35 year old male patient was referred to the Oral Diagnostic Sciences Clinic from the Ear Nose and Throat (ENT) Clinic on account of right-sided facial pain of one-month duration. Intraoral examination, revealed a carious maxillary right third molar that was tender to percussion. Periapical radiograph revealed large coronal radiolucency involving the distal half of the tooth with extension into the distal pulp horn. The portrayed outlines of the roots showed two buccal roots and the outlines of what appears to be two straight palatal roots.Results: Socket extraction of the maxillary third molar under local anaesthesia.Conclusion: In clinical practice of endodontics and oral surgery, it is good practice to anticipate the likely presence of an accessory root on a maxillary molar in order to avoid post-operative complications following treatment.
Section

References

  1. Libfeld H, Rostein I. Incidence of four-rooted maxillary
  2. second molars: literature review and radiographic survey
  3. of 1200 teeth. J Endod 1989;15: 129-131.
  4. Kottoor J, Velmurugan N, Ballal S, Roy A. Four-Rooted
  5. maxillary first molar having c-shaped palatal root canal
  6. morphology evaluated using cone-beam computerized
  7. tomography: a case report. Oral Surg Oral Med Oral
  8. Pathol Oral Radiol Endod 2011;111: e41-45.
  9. Vertucci FJ. Root canal morphology and its relationship
  10. to endodontic procedures. Endod Topics 2005;10: 3-29.
  11. Cleghorn BM, Christie WH, Dong CC. Root and root
  12. canal morphology of the human permanent maxillary first
  13. molar: a literature review. J Endod 2006;32: 813-821
  14. Turp JC, Alt KW. Anatomy and morphology of human
  15. teeth. In: Alt KW, Rosing FW, Teschler-Nicola M,
  16. editors. Dental Anthropology. Fundamentals, Limits
  17. and prospects. Austria: Springer; 1998. p. 71-94.
  18. Christie WH, Peikoff MD, Fogel HM. Maxillary molars
  19. with two palatal roots: a retrospective clinical study.
  20. J Endod 1991;17: 80-84
  21. Carlsen O, Alexendersen V. Radix mesiolingualis and
  22. radix distolingualis in a collection of permanent maxillary
  23. molars. Acto Odontol Scand 2000;58: 229-236
  24. Ahmed HM, Abbott PV. Accessory roots in maxillary
  25. molar teeth: a review and endodontic considerations.
  26. Aust Dent J 2012;57: 123-131
  27. Calberson FL, De Moor RJ, Deroose CA. The radix entomolaris
  28. and paramolaris: clinical approach in endodontics.
  29. J Endod 2007;33: 58-63.

How to Cite

Bamgbose, B. O., Kaura, M. A., & Yahaya, A. I. (2018). Four rooted maxillary third molar: a case report of a rare clinical presentation. Journal of Dentomaxillofacial Science, 3(2), 126–128. https://doi.org/10.15562/jdmfs.v3i2.751

HTML
634

Total
859

Share

Search Panel

Most read articles by the same author(s)