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Root Canal Illustration with Molars by Jeremy Kemp (2005-03-22) using Adobe Illustrator; converted to SVG by Jellocube27 (2007-01-07); based on information from illustrations at www.animated-teeth.com.
The root canal filling material (3, 4, and 10) does not extend to the end of the tooth roots (5, 6 and 11). The dark circles at the bottom of the tooth roots (7 and 8) indicated infection in the surrounding bone. Recommended treatment is either to redo the root canal therapy or extract the tooth and place dental implants.
Radiograph images, before and after the procedure are used to evaluate the outcome of the treatment. The patients are scheduled to follow up at 3, 6, 9, and 12 months after the completion of therapy. The tooth is accessed for different aspects such as pain, swelling, sinus tract, mobility, tooth discoloration, and the occlusion relationship.
An unusual root canal shape, complex branching (especially the existence of horizontal branches), and multiple root canals are considered as the main causes of root canal treatment failures. (e.g. If a secondary root canal goes unnoticed by the dentist and is not cleaned and sealed, it will remain infected, causing the root canal therapy to fail).
The National University Hospital (NUH) is a tertiary referral hospital and academic medical centre in Singapore, located in Kent Ridge.It is a 1,160-bed tertiary hospital serving more than 670,000 outpatients and 49,000 inpatients and serves as a clinical training centre and research centre for the medical and dental faculties of the National University of Singapore (NUS).
The pulp is the neurovascular bundle central to each tooth, permanent or primary.It is composed of a central pulp chamber, pulp horns, and radicular canals. The large mass of the pulp is contained within the pulp chamber, which is contained in and mimics the overall shape of the crown of the tooth. [2]
If pain is associated with teeth affected by hypercementosis, extractions or endodontic treatment may be required. A risk assessment must be considered as excess cementum build-up may make determining the apical limit challenging during a root canal. [12] The prognosis is the same as a regular tooth as long as the root canal is done properly. [12]
Maxillary molars usually have three roots. When an extra root is found on any of these teeth, the root is described as a supernumerary root. [1] The clinical significance of this condition is associated with dentistry when accurate information regarding root canal anatomy is required when root canal treatment is required. [2]