Farid A Faruqi¹, Asaad J Mirza²* and Rafique Moosa³

¹Department of Operative Dentistry, Dow University of Health Sciences, Pakistan
²Department of Operative Dentistry, Baqai Medical University, Pakistan
³Department of Prosthodontics, Baqai Medical University, Pakistan

*Corresponding Author: Asaad J Mirza, Department of Operative Dentistry, Baqai Medical University, Pakistan.

Received: August 25, 2021; Published: September 23, 2021

Abstract

  During an endodontic treatment, a dentist encounters multiple variations in the configuration of the root canal system. This morphologic variation makes many canals very difficult to find and the operating dentist has to take various measures to locate such hard-to-find canals. Champagne bubble test is a method which helps to pinpoint orifice of a hidden canal. This case report describes a similar problem rectified with the help of champagne bubble test.

  In mandibular first molars, presence of middle mesial (MML) canal with low incidence has been documented. In Pakistan, its existence has been reported as low as 3.3% which may be missed by a dentist because of various reasons including its rare occurrence, reparative dentin deposition and lack of dentist’s patience, skill and application of proper protocol for discovering hidden canals. Leaving such canals unexplored and consequently untreated, leads to failure of the whole endodontic procedure. Caries was removed in tooth # 46 and located canals; Mesiobuccal (MB), Mesiolingual (ML), Distobuccal (DB) and distolingual (DL) were accessed, working length established and were instrumented under copious irrigation. Broader buccolingual dimension of the tooth and long span between MB and ML canals were a clue for possibility of another canal in the mesial root. Despite applying all available diagnostic measures the suspected missing canal couldn’t be located. Champagne bubble test, however, succeeded to locate it.

Keywords: Champagne Bubble Test; Hidden Root Canals; Hard-to Find-Canals; Mesial Middle Canal

References

1. Akhlaghi Mohammadzadeh Nahid., et al. “Root Canal Anatomy and Morphology of Mandibular First Molars in a Selected Iranian Population: An In Vitro Study”. The Iranian Endodontic Journal1 (2017): 87-91.
2. Wasti F., et al. “Root canal systems of the mandibular and maxillary first permanent molar teeth of South Asian Pakistanis”. International Endodontic Journal 34 (2001): 263-266.
3. Chourasia Hemant Ramesh., et al. “Root canal morphology of mandibular first permanent molars in an Indian population”. International Journal of Dentistry 2012 (2012): 745152.
4. Mohammadi Zahed., et al. “A Clinical Update on the Different Methods to Decrease the Occurrence of Missed Root Canals”. The Iranian Endodontic Journal3 (2016): 208-213.
5. Awooda Elhadi M., et al. “Five canals on mandibular first molar successfully managed by undergraduate dental student: An Educational Case Report”. Journal of Oral Research4 (2018).
6. Vertucci Frank J. “Root canal anatomy of the human permanent teeth”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology5 (1984): 589-599.
7. Goel NK., et al. “Study of roots canal configuration in mandibular first permanent molar”. Journal of the Indian Society of Pedodontics and Preventive Dentistry 8 (1991): 12-14.
8. Caliskan MK., et al. “Root canal morphology of human permanent teeth in a Turkish population”. The Journal of Endodontics4 (1995): 200-204.
9. Holtzman L. “Root canal treatment of mandibular second premolar with four root canals: A case report”. International Endodontic Journal 31 (1998): 364-366.
10. Poorni S., et al. “Canal complexity of a mandibular first molar”. The Journal of Conservative Dentistry1 (2009): 37-40.
11. Álvarez JM and Macho AZ. “Applications of CBCT in Endodontics”. (2021).
12. Sujith Ramachandra., et al. “Microscope magnification and ultrasonic precision guidance for location and negotiation of second mesiobuccal canal: An in vivo study”. Journal of International Society of Preventive and Community Dentistry3 (2014): S209-S212.
13. Ruddle CJ. “Identifying root canals, Endodontic Strategies”. Endodontic Practice6 (2011): 56.

Citation

Citation: Asaad J Mirza., et al. “Champagne Bubble Test: An Authentic Method to Find Hard-to-Find Canals during Root Canal Therapy”. Acta Scientific Dental Sciences 5.10 (2021): 68-71.

Copyright

Copyright: © 2021 Asaad J Mirza., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.