head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue3
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2022283.4469
Published online: 21 July 2022

Review article
J of IMAB. 2022 Jul-Sep;28(3):4469-4473
Aleksandra PechevaORCID logo Corresponding Autoremail, Kostadin GeorgievORCID logo,
Department of Operative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria.

To achieve high levels of success in endodontic treatment requires in-depth knowledge of the anatomy and morphology of the root canal system. Premolars are a group of teeth which shows a wide spectrum of different variations, reaching the apical opening. The frequency of one root canal at the apical tip for the maxillary first premolars is 8.66%, while 89.64% of the examined teeth show two root canals at the apical tip. The frequency of two or more root canals in the mandibular first premolars varies between 2.7% to 62.5%, while the frequency of two or more root canals in the mandibular second premolars varies between 0% and 34.3%. Some of the clinical aspects in the treatment of such aberrated premolars include implementing detailed preoperative evaluation- X-Rays and CBCT, sufficient opening of the endodontic access and careful three-dimentional cleaning of the root canal system with combination of different endodontic instruments and hybrid techniques of work and following hermetic sealing of all portals of exits. A 3D printing after a CBCT scan is a method of choice when a clinician wants to master the anatomy of a premolar. Knowledge of the complex root canal system is essential for understanding the principles and problems of shaping and, cleaning, determining the apical boundaries and dimensions of the root canals.

Keywords: Vertucci, premolars, atypical anatomy, aberrations,

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Please cite this article as: Pecheva A, Georgiev K. Clinical difficulties in endodontic treatment of premolars with atypical anatomy. J of IMAB. 2022 Jul-Sep;28(3):4469-4473.
DOI: 10.5272/jimab.2022283.4469

Corresponding AutorCorrespondence to: Dr Aleksandra Pecheva, PhD, Department of Operative Dentistry and endodontics, Faculty of Dental Medicine, Medical University of Plovdiv; 3, Hristo Botev Blvd., Plovdiv, Bulgaria; E-mail: Aleksandra_pecheva@hotmail.com

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Received: 29 November 2021
Published online: 21 July 2022

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