Expecting The Unexpected

Report of unusual presentation of two root canals in all the mandibular anterior teeth in a single patient.Incidence of two canals in individual mandibular anterior teeth ranges from 5-37% but all six anterior teeth showing two canals is a rare finding and is seen in less then 5% of the population. We report Endodontic management of such case. Conclusion:Successful endodontic therapy of a tooth demands that a dentist should have a thorough knowledge of the root canal morphology, making it mandatory towards proper radiographic evaluation and diagnosis of the status of the pulp canals as well as periapical areas. Improper diagnostic protocol may lead to failure of Endodontic treatment. The case presented here shows successful root canal treatment of all the mandibular anterior teeth with two root canals each. The frequency of mandibular anterior teeth havingtwo root canals varies from 5% to 37 % in different populations.Pulp space anatomy of mandibular anterior teeth shows high incidence of complexity which includes variation in canal configurations, number of canals and presence of isthmus. Thorough knowledge of root canal anatomy and morphology, additional radiographs taken at different angles and correct interpretation of radiographs is mandatory

Non Surgical Management Of Intra Oral Sinus In Mandibular Canine With Two Canals And Mandibular First Premolar With Two Roots: A Case Report

The root canal morphology of teeth is more often highly complex and variable. Therefore, any attempt to perform successful endodontic treatment must be preceded with thorough and detailed knowledge of the root canal morphology and its possible variations.1 The majority of mandibular canines are single rooted with one root canal. The possibility of having two canals in mandibular canines is reported to be infrequent.2,3 Mandibular first premolars have also been typically described in literature as single–rooted with incidence of extra roots to be rarely present.4 This paper describes a case report on non surgical management of intra oral sinus with presence of two root canals in mandibular canine (Vertucci Type II) and two rooted mandibular first premolar (Vertucci Type IV) in same patient, which is a rare entity.

Bilateral Mandibular Centrals with Rare Type IV Canals

The aim of this study was to report the endodontic management of maxillary incisors having two canals with rare type IV vertucci canal configuration. Internal morphology of root canals is variable and often complex. Therefore, to achieve a technically satisfactory endodontic outcome, the clinician must have an adequate knowledge of the internal canal morphology and its variations to debride and obturate the root canal system thoroughly. This case report describes the successful endodontic treatment of both the mandibular central incisors having two-root canals in same individual.

A variation anatomy of mandibular canine with successful endodontic management.

Knowledge of development of the teeth and their natural anatomy is applicable to clinical practice, especially during root canal therapy. Although endodontic treatment of mandibular canine generally offers no difficulties, it is advisable to always be aware of the possibility of variations in its internal anatomy. Mandibular canines are recognized as usually monoradicular i.e., single rooted, in most of the cases although approximately 15% may have two canals. Further the incidences of two rooted canine with two root canals is as low as 1.7%. This article presents a case of mandibular canine having two roots with two canals and its successful endodontic management.

A case of unusual anatomy: maxillary central incisor with two root canals / Un caso de anatomía inusual: incisivo central superior con dos canales radiculares

Success in root canal treatment is achieved after thorough cleaning and shaping followed by complete obturation of the canal system. Therefore, endodontic therapy requires specific and complete knowledge of the internal and external dental anatomy, and its variations in presentation. Such treatment may be performed in root canal systems that do not comply with the normal anatomical features described in standard textbooks. The internal anatomy of the maxillary central incisor is well known and usually presents one root canal system. This case report describes an endodontic retreatment of a maxillary central incisor with two canal systems.

El éxito de los tratamientos de endodoncia sólo puede conseguirse mediante una completa asepsia, el modelado y la obturación del canal radicular. Por ello, los tratamientos de endodoncia requieren de un completo y detallado conocimiento de la anatomía interna y externa de los canales radiculares y de sus variantes. Este tipo de tratamiento puede realizarse en canales radiculares que no coincidan con las características anatómicas normales descritas como patrón por la literatura. La anatomía interna de los incisivos centrales superiores es bien conocida, presentando normalmente un canal radicular único. En este relato se describen los tratamientos endodóncicos de incisivo central superior con dos canales radiculares.