Clinical features and endodontic treatment of two-rooted mandibular canines: Report of four cases

Stojanac, Igor; Premović, Milica; Drobac, Milan; Ramić, Bojana; Petrović, Ljubomir

doi:10.2298/sarh1410592s

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…3,4 About 87.5% of these reported cases were described in female patients which makes the present case occurring in a male even more unusual. 2 While the occurrence of such a variation was described as a common trait in the European population a few centuries before, the feature was almost absent in the Asian population. 5 The fact that Asian populations generally exhibit a higher prevalence of variation in root canal numbers and morphology further highlights the peculiarity of this variation.…”

Section: Discussionmentioning

confidence: 99%

“…Even rarer is the occurrence of a bi-rooted canine with a separate root canal in each of its roots. 2 Such a variation has a prevalence rate as low as 1.7% and endodontic treatment of such a tooth can be extremely challenging. 2,3 The present case report describes the endodontic management of a mandibular canine with two separate roots and two canals.…”

Section: Introductionmentioning

confidence: 99%

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Endodontic management of an unusual bi-rooted mandibular canine

Sachdev¹,

Shetty²,

Barik³

et al. 2023

IJCE

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A successful outcome of endodontic therapy can be achieved by a thorough knowledge of root canal morphology and its variations. The mandibular canine commonly presents with a single root and a single canal. A few may present with two canals in a single root and even rarer are those with two distinct roots and root canals. The present manuscript describes a case of an atypical bi-rooted mandibular canine. Careful examination of preoperative radiographs revealed a mandibular canine with two distinct roots and two canals. The access cavity was prepared, the working length was determined and the canal was prepared with rotary instrumentation with copious irrigation of sodium hypochlorite and EDTA. This was followed by obturation and post-operative evaluation. Careful assessment of root canal morphology should be done in every case for a successful outcome and to avoid any mishaps.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endodontic management of an unusual bi-rooted mandibular canine

Sachdev¹,

Shetty²,

Barik³

et al. 2023

IJCE

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“…13 Cone Beam Computed Tomography (CBCT) evaluates accurately in axial, sagittal and coronal planes if diagnosis couldn't be made using conventional radiographs, 14 analysis of the periodontal ligament continuity in X-rays, efficient explorers, modified access opening involving buccolingual extensions, adequate illumination and usage of augmentative equipments such as magnifying loupes or endodontic microscope would help clinicians to identify additional canals. 12,15,16…”

Section: Discussionmentioning

confidence: 99%

Endodontic management of biradicular mandibular canine and mandibular lateral incisor with a missed canal: A rare case report

Narayan

Kumar²,

Kurian³

et al. 2022

IJCE

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Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review

Plascencia

Cruz

Gascón

et al. 2017

Case Reports in Dentistry

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Usually, the mandibular canine only has one root and one root canal. However, there has been a noticeable increment in evidence showing variations in its morphology, such as the presence of two roots and two root canals. The aim of this article was to present a case of a mandibular canine with two roots and two root canals and to review the available literature on this anatomic variation. Root canal treatment of tooth #43 with such morphology was performed in a 47-year-old woman. Careful inspection of the preoperative radiograph indicated the presence of more than one canal. The 12-month follow-up showed normal periapical tissues, with no pain or tenderness. Literature review revealed that the overall prevalence of such root canal configuration is 5.7%, with a strong preference for female sex (87.5%). Although mandibular canines with two roots and two root canals are not common, clinicians should always anticipate the presence of possible variations. Therefore, timely diagnosis and meticulous exploration of such mandibular canines allow for planning of an individualized treatment protocol, tailored to their peculiar morphology, focused on avoiding excessive weakening or even perforation of the roots.

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Clinical features and endodontic treatment of two-rooted mandibular canines: Report of four cases

Abstract: Endodontists should be aware of anatomical variations of the treated teeth, and should never presume that canal systems are simple.

Cited by 4 publications

References 15 publications

Endodontic management of an unusual bi-rooted mandibular canine

Endodontic management of an unusual bi-rooted mandibular canine

Endodontic management of biradicular mandibular canine and mandibular lateral incisor with a missed canal: A rare case report

Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review

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