{"id":758,"date":"2017-12-06T16:34:09","date_gmt":"2017-12-06T16:34:09","guid":{"rendered":"http:\/\/www.endostlaurent.ca\/?p=758\/"},"modified":"2018-01-25T05:52:59","modified_gmt":"2018-01-25T05:52:59","slug":"unusual-anatomy-2-palatal-canals","status":"publish","type":"post","link":"https:\/\/endostlaurent.com\/en\/2017\/12\/06\/unusual-anatomy-2-palatal-canals\/","title":{"rendered":"AN UNUSUAL ANATOMY &#8211; 2 PALATAL CANALS"},"content":{"rendered":"<h3 style=\"text-align: center;\"><em>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent<\/em><\/h3>\n<p>&nbsp;<\/p>\n<p class=\"p1\"><span class=\"s1\">A 25 year-old<span class=\"Apple-converted-space\">\u00a0<\/span>male presented to our office with a chief complaint: <\/span><\/p>\n<blockquote>\n<p class=\"p1\"><span class=\"s1\">\u201cI am not sleeping, I have a really bad toothache\u201d<\/span><\/p>\n<\/blockquote>\n<h2 class=\"title left\">Analysis<\/h2>\n<p class=\"p1\"><span class=\"s1\">Clinical examination revealed the presence of a restoration on tooth #27. The tooth was painful to percussion. <\/span><span class=\"s1\">Cold and vitality tests were negative. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Radiological examination revealed the presence of a widened PDL around the palatal root of tooth #27.<\/span><\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-758 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-1-AnUnusualAnatomy.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"248\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-1-AnUnusualAnatomy-300x248.png\" class=\"attachment-medium size-medium\" alt=\"Radiographie pr\u00e9-op\u00e9ratoire \/ Pre-operative radiograph\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-1-AnUnusualAnatomy-300x248.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-1-AnUnusualAnatomy-768x635.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-1-AnUnusualAnatomy.png 837w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h3>Diagnosis<\/h3>\n<p class=\"p1\"><span class=\"s1\"><span class=\"Apple-converted-space\">The diagnosis was:\u00a0<b><\/b><\/span><\/span><span class=\"s1\"><b>Pulpal necrosis and symptomatic apical periodontitis<\/b><\/span><span class=\"s1\"><span class=\"Apple-converted-space\"><b><\/b>.<\/span><\/span><\/p>\n<h2 class=\"title left\">Treatment<\/h2>\n<p>The treatment options offered to the patient were:<\/p>\n<ol>\n<li>Root canal treatment. Prognosis: Favorable<\/li>\n<li>Extraction. Prognosis: Favorable<\/li>\n<\/ol>\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">Treatment Selection<\/span><\/h3>\n<p><span class=\"s1\">The patient consented to a\u00a0<a href=\"\/en\/root-canal-treatment\/\"><b>root canal treatment<\/b><\/a><\/span>.<\/p>\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">The treatment<\/span><\/h3>\n<p class=\"p1\"><span class=\"s1\">The procedure was completed in 2 visits with placement of Calcium Hydroxide as an intra-canal medicament.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">During the first visit, a special anatomy was discovered: the presence of 2 palatal canals in the tooth.<span class=\"Apple-converted-space\">\u00a0<\/span><a href=\"\/en\/about\/\">This prompted us to take a 3D scan (CBCT)<\/a>, which luckily could be performed on site in our clinic.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">CBCT snapshots revealed the presence of a C-shaped palatal system with 2 separate canals. Studies report the prevalence of such anatomy to be 0.4-1.3%.<\/span><\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-2 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-2 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-2' class='gallery galleryid-758 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-2-AnUnusualAnatomy.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"167\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-2-AnUnusualAnatomy-300x167.png\" class=\"attachment-medium size-medium\" alt=\"Clich\u00e9s du CBCT \/ CBCT snapshots\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-2-AnUnusualAnatomy-300x167.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-2-AnUnusualAnatomy-768x429.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-2-AnUnusualAnatomy.png 896w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<p class=\"p1\"><span class=\"s1\">Treatment was completed 10 days later.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The final irrigation protocol for both visits consisted of the following:\u00a0<\/span><span class=\"s1\">6% NaOCl followed by 17% EDTA which was then followed by 2% Chlorhexidine.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">All 4 canals, Palatal 1, Palatal 2,<span class=\"Apple-converted-space\">\u00a0<\/span>Disto-Buccal,<span class=\"Apple-converted-space\">\u00a0<\/span>and Mesio-Buccal were instrumented using the <em>XP-3D Shaper<\/em> file and obturated using cold hydraulic <\/span><span class=\"s1\">condensation with <em>Bioceramic Sealer<\/em>. <\/span><\/p>\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">Follow-up<\/span><\/h3>\n<p class=\"p1\"><span class=\"s1\">At 6-months follow-up,<span class=\"Apple-converted-space\">\u00a0<\/span>complete healing was observed on X-ray and on CBCT. <\/span><\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2 class=\"title left\">Additional Images<\/h2>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-3 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-3 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-3 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-3 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-3' class='gallery galleryid-758 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-3-AnUnusualAnatomy.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"122\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-3-AnUnusualAnatomy-300x122.png\" class=\"attachment-medium size-medium\" alt=\"Autres Images 1 \/ More images 1\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-3-AnUnusualAnatomy-300x122.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-3-AnUnusualAnatomy-768x312.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-3-AnUnusualAnatomy-1024x416.png 1024w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-3-AnUnusualAnatomy.png 1801w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-4-AnUnusualAnatomy.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"133\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-4-AnUnusualAnatomy-300x133.png\" class=\"attachment-medium size-medium\" alt=\"Autres Images 2 \/ More images 2\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-4-AnUnusualAnatomy-300x133.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-4-AnUnusualAnatomy-768x340.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/12\/C7-4-AnUnusualAnatomy.png 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent &nbsp; A 25 year-old\u00a0male presented to our office with a chief complaint: \u201cI am not&hellip;<\/p>\n","protected":false},"author":2,"featured_media":793,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[44],"tags":[31,32,15,41,14,34,35,12,45,36],"class_list":["post-758","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-etude-de-cas-case-study-en","tag-canal-radiculaire-en","tag-cas-dentaire-en","tag-case-study","tag-dental-case","tag-endodontics","tag-endodontie-en","tag-etudes-de-cas-en","tag-root-canal","tag-root-canal-treatment","tag-traitement-de-canal-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/758"}],"collection":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/comments?post=758"}],"version-history":[{"count":0,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/758\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media\/793"}],"wp:attachment":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media?parent=758"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/categories?post=758"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/tags?post=758"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}