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Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2014, vol. 20, issue 1
Subject Collection: Oral and Dental Medicine
Pages: 504-509
DOI: 10.5272/jimab.2014201.504
Published online: 20 June 2014
J of IMAB 2014 Jan-Jun;20(1):504-509
C-SHAPED CONFIGURATION OF THE ROOT CANAL SYSTEM – PROBLEMS AND SOLUTIONS.
Janet Kirilova 
, Snezhanka Topalova-Pirinska.
Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria.
ABSTRACT:
Introduction: The patients with C-shaped configuration of the root canal system are definitely a problem in the everyday dental practice. The C-shaped configuration of the root canal can be seen in the mandibular and maxillary molars. The treatment of these teeth is very difficult.
Purpose: To trace the treatment of clinical cases with C-shaped configuration of the root canal system.
Material and methods: There are some different cases that are described with a C-shaped configuration of the root canal system with one, two, three and four separate root canals. Careful exploration of the floor of the pulp chamber, inspection with magnification, use of ultrasonic irrigation and a modified filling technique are of particular use.
Results and Discussion: Clinical cases of a C-shaped pulp chamber and root canal system shows that this root canal aberration occurs in a wide variety and variability with a single root canal up to two, three and four separate root canals. The diameter of the root canal themselves also varies from very wide to such with a small diameter.
Conclusions: Knowledge of the different anatomical variations will improve the endododntic practice of the general dental practitioners.
Key words: Anatomical variation, C-shaped configuration of the root canal system, endodontic treatment,
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Please cite this article as:
Kirilova J, Topalova-Pirinska S. C-shaped Configuration of the Root Canal System – Problems and Solutions. J of IMAB. 2014 Jan-Jun;20(1):504-509. doi: 10.5272/jimab.2014201.504.
Correspondence to: Dr. Janet Kirilova, Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University - Sofia; 1, St. George Sofiiski Str., 1431 Sofia, Bulgaria; E-mail: janetkirilova@gmail.com
REFERENCES:
1. Bolger WL, Schindler WG. A mandibular first molar with a C-shaped root configuration. J Endod. 1988 Oct;14(10):515 -9. [PubMed] [CrossRef]
2. Cook HG 3rd, Cox FL. C-shaped canal configurations in mandibular second molar. J Am Dent Assoc.1979 Nov;99(5):836-9. [PubMed]
3. Fan B, Cheung GS, Fan M, Gutman JL, Bian Z. C-shaped canal system in mandibulary second molars: Part I – Anatomical features. J Endod. 2004 Dec;30(12): 899-03. [PubMed]
4. Fan B, Cheung GS, Fan M, Gutman JL, Fan W. C-shaped canal system in mandibulary second molars: Part II – Radiographic features. J Endod. 2004 Dec;30(12): 904-8. [PubMed] [CrossRef]
5. Haddad GY, Nehme WB, Quins HF. Diagnosis, classification and frequency of C-shaped canals in mandibular second molars in the Lebanese population. J Endod. 1999 Apr;25(4):268 -71. [PubMed] [CrossRef]
6. Jafarzadeb H, Wu Y-N. The C-shaped root canal canfiguration: A review. J Endod. 2007 May;35(5):517-23. [PubMed] [CrossRef]
7. Kirilova J. The cases with rare configurations of root canals of the mandibular second molar. Problems of dental medicine. 2009; 35(part ІІ): 73-9. [in Bulgarian]
8. Kuzmanova Y. Prospective application of the clinical and X-ray analysis in endodontics. Stomatology. 1998; 80(1):63-68. [in Bulgarian]
9. Kuzmanova Y. Rare endodontic variations in the permanent molars in the Bulgarian population. Dental medicine. 2014; 96(1):30-41. [in Bulgarian]
10. Loh HS. Incidence and features of the mandibular second molar in Singaporen Chinese. Austr Dent J. 1991 Dec;36(6): 442 -44. [PubMed]
11. Manning SA. Root canal anatomy of second molars. Part II. C-shaped canals. Int Dent J. 1990 Jan; 23(1): 40-45. [PubMed]
12. Rahimi S, Shahi S, Lotfi M, Zand V, Abdolrahimi M, Es'haghi R. Root canal configuration and prevalence of C-shaped canajs in mandibular second molar in an Iranian population. J Oral Sci. 2008 Mar;50(1):9-13. [PubMed] [CrossRef]
13. Seo MS, Park DS. C-shaped root canals of mandibular second molar in a Korean population: clinical observation and in vitro analysis. Int Endod J. 2004 Feb;30(2):391 -8. [PubMed] [CrossRef]
14. Wang Y, Guo J, Yang HB, Han X, Yu Y. Incidence of C-shaped root canal systems in mandibular second molars in the native Chinese population by analysis of clinical methods. Int J Oral Sci. 2012 Sep;4(3):161-5. [PubMed] [CrossRef]
15. Weine FS. The C-shaped mandibular second molar: incidence and other consideration. J Endod. 1998 May;24(5):372-5. [PubMed]
16. Weine FS, Pasiewicz RA, Rice RT. Canal configuration of the mandibular second molar using a clinically oriented in vivo method. J Endod. 1988 May;14(5):207 -13. [PubMed] [CrossRef]
Received: 10 April 2014
Published online: 20 June 2014