Mandibular premolar with two roots and two root canals: a case series

Authors

Dr. Akshita G Rathi Post Graduate Student, Department of Conservative Dentistry and Endodontics, V. Y. W. S. Dental College and Hospital, Amravati, Maharashtra, India
Dr. Anantkumar A. Heda Professor and Guide, Department of Conservative Dentistry and Endodontics, Dr. R. R. Kambe Dental College and Hospital Akola, Maharashtra, India
Dr. Sagar Mohkar Reader, Department of Conservative Dentistry and Endodontics, V. Y. W. S. Dental College and Hospital, Amravati, Maharashtra, India
Dr. Nikhil Soni Senior Lecturer, Department of Conservative Dentistry and Endodontics, V. Y. W. S. Dental College and Hospital, Amravati, Maharashtra, India
Dr. Shrutika Mankar Senior Lecturer, Department of Pedodontics, V. Y. W. S. Dental College and Hospital, Amravati, Maharashtra, India

Keywords:

mandibular premolar, two roots, two canals

Abstract

Abstract

Aim: The aim of present case report is to document the management of rare case of mandibular premolar with two roots and two root canals.

Summary: The present case report documents the successful endodontic management of a mandibular premolar with two roots and two canals with Vertucci’s Type I canal configuration which was diagnosed using cone‑beam computed tomography (CBCT) as a diagnostic aid. In the present case, the presence of only two roots and two canals was confirmed with radiographs and radiovisiography, so no further attempt was made to search for any other canal, which could cause iatrogenic errors.

Although the incidence of presence of two roots and two canals is not high, it is important to take these variations into consideration during root canal treatment of maxillary molars to prevent iatrogenic errors and to ensure success.

References

Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol, 1984; 58:589-99.

Gopikrishna V, Bhargavi N, Kandaswamy D. Endodontic management of a maxillary first molar with a single root and a single canal diagnosed with the aid of spiral CT: A case report. J Endod, 2006; 32:687‑91.

Ma L, Chen J, Wang H. Root canal treatment in an unusual maxillary first molar diagnosed with the aid of spiral computerized tomography and in vitro sectioning: A case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009;107:e68‑73.

Kottoor J, Hemamalathi S, Sudha R, Velmurugan N. Maxillary second molar with 5 roots and 5 canals evaluated using cone beam computerized tomography: A case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2010; 109:e162-5.

La SH, Jung DH, Kim EC, Min KS. Identification of independent middle mesial canal in mandibular first molar using cone-beam computed tomography imaging. J Endod, 2010; 36:542-5.

Cantatore G, Berutti E, Castellucci A. “Missed anatomy: frequency and clinical impact,” Endodontic Topics, 2006; 15(1):3-31.

Bansal P, Nikhil V, Malhotra P, Singh V. Maxillary first molar with two roots and two root canals: A rare case report. Endodontology, 2018; 30(1):84-87.

Malagnino V, Gallottini L, Passariello P. Some unusual clinical cases on root anatomy of permanent maxillary molars. J Endod, 1997; 23:127-8.

Slowey RR. Root canal anatomy. Road map to successful endodontics. Dent Clin North Am, 1979; 23:555-73.

Zillich R, Dowson J. Root canal morphology of mandibular first and second premolars. Oral Surg Oral Med Oral Pathol, 1973; 36:738-44.

Vertucci FJ. Root canal morphology of mandibular premolars. J Am Dent Assoc, 1978; 97(1):47-50.

Rahimi S, Ghasemi N. Maxillary first molar with two root canals. Sultan Qaboos University Medical Journal, 2013; 13(2):E346-349.

Grossman’s endodontic practice, 13th ed.

Cohen’s pathways of pulp, 11th ed.

Ingle’s textbook of endodontics 6th ed.

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Published

2021-04-20

How to Cite

[1]

A. G. Rathi, A. A. Heda, S. Mohkar, N. Soni, and S. Mankar, “Mandibular premolar with two roots and two root canals: a case series”, J. A. Med. Sci, vol. 1, no. 1, pp. 15–17, Apr. 2021.

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Issue

Vol. 1 No. 1 (2021)

Section

Articles

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This work is licensed under a Creative Commons Attribution 4.0 International License.