C-KANALLI ALT VE ÜST BİRİNCİ BÜYÜK AZI DİŞLERİNİN ENDODONTİK TEDAVİSİ: İKİ OLGU RAPORU-Endodontic Treatment of C-Shaped Mandibular and Maxillary First Molar Teeth: Report of Two Cases

Yıl 2013, Cilt: 47 Sayı: 3, 54 - 61, 12.12.2013

Muzaffer Dinçol Handan Ersev Bülent Yılmaz Yusuf Batur Hakan Özba§

Öz

öz

C-kanal yapısı sunan kök ve kanal sistemi, diş dizisi içinde görülebilecek en önemli anatomik farklılıklardan bir tanesidir. Bu nedenle, kök kanalı tedavisine başlamadan önce C-kanal içeren kök kanallarının önceden tanınması ve belirlenmesi bir zorunluluktur. Özellikle alt ikinci büyük azı dişlerinde sık görülen bu morfolojik farklılık, alt birinci büyük azı dişlerinde ve üst birinci büyük azılarda da görülür. Bu olgu raporunun amacı, C-kanal yapısı sunan alt ve üst birinci büyük azı dişlerindeki endodontik tedavinin anlatılması ve füzyon köklerdeki morfolojik özelliklerin tartışılmasıdır.

Anahtar kelimeler: C-şekilli kök ve kanalı sistemleri, endodontik tedavi, kök kanalı şekli, üst birinci büyük azı, alt birinci büyük azı

ABSTRACT

The 'C' configuration of the root canal system is regarded as one of the most important morphologic variations of dentiton. Thus, correct diagnosis and identification of the C-shaped root canal before treatment is an essential step. This aberrant morphology is most frequently found in mandibular second molar although it could be found in the mandibular first molar and the maxillary first molar. The aim of
this case report is to present the endodontic intervention of C-shaped canals in mandibular and maxillary first molar teeth and to discuss the morphologic features of fused roots.

Keywords: C-shaped root canal systems, endodontic treatment, root canal configuration, maxillary first molar, mandibular first molar

Anahtar Kelimeler

C-shaped root canal systems, endodontic treatment, root canal configuration, maxillary first molar, mandibular first molar

C-KANALLI ALT VE ÜST BİRİNCİ BÜYÜK AZI DİŞLERİNİN ENDODONTİK TEDAVİSİ: İKİ OLGU RAPORU

Öz

C-kanal yapısı sunan kök ve kanal sistemi, diş dizisi içinde görülebilecek en önemli anatomik farklılıklardan bir tanesidir. Bu nedenle, kök kanalı tedavisine başlamadan önce C-kanal içeren kök kanallarının önceden tanınması ve belirlenmesi bir zorunluluktur. Özellikle alt ikinci büyük azı dişlerinde sık görülen bu morfolojik farklılık, alt birinci büyük azı dişlerinde ve üst birinci büyük azılarda da görülür. Bu olgu raporunun amacı, C-kanal yapısı sunan alt ve üst birinci büyük azı dişlerindeki endodontik tedavinin anlatılması ve füzyon köklerdeki morfolojik özelliklerin tartışılmasıdır.

Anahtar Kelimeler

C-şekilli kök ve kanalı sistemleri, endodontik tedavi, kök kanalı şekli, üst birinci büyük azı, alt birinci büyük azı

Kaynakça

• Jafarzadeh H, Wu YN. The C-shaped root canal configuration: a review. J Endod, 2007; 33(5): 517-23. Melton DC, Krell KV, Fuller MW. Anatomical and histological features of C-shaped canals in mandibular second molars. J Endod, 1991; 17(8): 384-88. Chai WL, Thong YL. Cross-sectional morphology and minimum canal wall widths in C-shaped roots of mandibular molars. J
• Endod, 2004; 30(7): 509-12. Fan B, Yang J, Gutmann JL, Fan M.
• Root canal systems in mandibular first premolars with C-shaped root configurations. Part I: Microcomputed tomography mapping of the radicular groove and associated root canal cross-sections. J Endod, 2008; 34(11): 1337 Yılmaz Z, Tuncel B, Serper A, Calt S.
• C-shaped root canal in a maxillary first molar: a case report. Int Endod J, 2006; 39(2): 162- Cleghorn BM, Christie WH, Dong CC.
• Root and root canal morphology of the human permanent maxillary first molar: a literature review. J Endod, 2006; 32(9): 813-21. De Moor RJ. C- shaped root canal configuration in maxillary first molars. Int Endod
• J, 2002; 35(2): 200-08. Karanxha L, Kim HJ, Hong SO, Lee
• W, Kim PS, Min KS. Endodontic management of a C-shaped maxillary first molar with three independent buccal root canals by using cone-beam computed tomography. Restor Dent Endod, 2012; 37(3): 175-79. Grocholewicz K, Lipski M, Weyna E.
• Endodontic and prosthetic treatment of teeth with C-shaped root canals. Ann Acad Med Stetin, 2009; 55(3): 55-59. Cooke HG 3rd, Cox FL. C-shaped canal configurations in mandibular molars.
• J Am Dent Assoc, 1979; 99(5): 836-39.
• Fan B, Cheung GS, Fan M, Gutmann JL, Fan W. C-shaped canal system in mandibular second molars: Part II--Radiographic features. J Endod, 2004; 30(12): 904-08.
• Min Y, Fan B, Cheung GS, Gutmann JL, Fan M. C-shaped canal system in mandibular second molars Part III: The morphology of the pulp chamber floor. J Endod, 2006; 32(12): 1155-59.
• Fan B, Cheung GS, Fan M, Gutmann JL, Bian Z. C-shaped canal system in mandibular second molars: Part I--Anatomical features. J Endod, 2004; 30(12): 899-903.
• Yin X, Cheung GS, Zhang C, Masuda YM, Kimura Y, Matsumoto K. Micro-computed tomographic comparison of nickel-titanium rotary versus traditional instruments in C-shaped root canal system. J Endod, 2010; 36(4): 708-12.
• Fan B, Min Y, Lu G, Yang J, Cheung GS, Gutmann JL. Negotiation of C-shaped canal systems in mandibular second molars. J Endod, 2009; 35(7): 1003-08.
• Fan W, Fan B, Gutmann JL, Cheung GS. Identification of C-shaped canal in mandibular second molars. Part I: radiographic and anatomical features revealed by intraradicular contrast medium. J Endod, 2007; 33(7): 806-10.
• Cheung LH, Cheung GS. Evaluation of a rotary instrumentation method for C-shaped canals with micro-computed tomography. J Endod, 2008; 34(10): 1233-38. Keinan D, Nuni E, Slutzky-Goldberg I. Is a C-shaped configuration possible in teeth other than mandibular molars ?. Quintessence Int, 2009; 40(7): 541-43.
• Gao Y, Fan B, Cheung GS, Gutmann JL, Fan M. C-shaped canal system in mandibular second molars Part IV: 3-D morphological analysis and transverse measurement. J Endod, 2006; 32(11): 1062-65.
• Fan B, Gao Y, Fan W, Guttman JL. Identification of a C-shaped canal system in mandibular second molars-Part II: the effect of bone image superimposition and intraradicular contrast medium on radiograph interpretation. J Endod, 2008; 34(2): 160- Fan W, Fan B, Gutmann JL, Fan M.
• Identification of a C-shaped canal system in mandibular second molars. Part III. Anatomic features revealed by digitial subtraction radiography. J Endod, 2008; 34(10): 1187Zheng Q, Zhang L, Zhou X, Wang Q, Wang Y, Tang L, Song F, Huang D. C-shaped root canal system in mandibular second molars in a Chinese population evaluated by cone-beam computed tomography. Int Endod
• J, 2011; 44(9): 857-62. Cimilli H, Cimilli T, Mumcu G, Kartal
• N, Wesselink P. Spiral computed tomographic demonstration of C-shaped canals in mandibular second molars. Dentomaxillofac Radiol, 2005; 34(3): 164-67. Zhang R, Wang H, Tian YY, Yu X, Hu T, Dummer PM. Use of cone-beam computed tomography to evaluate root and canal morphology of mandibular molars in Chinese individuals. Int Endod J, 2011; 44(11): 990-99. Dankner E, Friedman S, Stabholz A.
• Bilateral C-shape configuration in maxillary first molars. J Endod, 1990; 16(12): 601-03. Barnett F. Mandibular molar with
• C-shaped canal. Endod Dent Traumatol, 1986; 2(2): 79-81. Bolger WL, Schindler WG. A mandibular first molar with a C-shaped root configuration. J Endod, 1988; 14(10): 515-19. Gu YC. A micro-computed tomographic analysis of maxillary lateral incisors with radicular grooves. J Endod, 2011; 37(6): 789Newton CW, McDonald S. A C-shaped canal configuration in a maxillary first molar. J Endod, 1984; 10(8): 397-99.
• Sabala CL, Benenati FW, Neas BR. Bilateral root or root canal aberrations in a dental school patient population. J Endod, 1994; 20(1): 38-42. Yazışma Adresi: Muzaffer Emir DİNÇOL
• İstanbul Üniversitesi Diş Hekimliği Fakültesi Endodonti A.D. 34390 Çapa- Fatih/İstanbul Tel: [phone]/30320 e-posta: [e-mail]