Mandibular second premolars with three root canals: A review and 3 case reports
نویسندگان
1 3. Associate Professor of Endodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
2 1. Endodontist, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
3 Professor of Endodontics, Dental and Periodontal Research Center, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
4 3. Associate Professor of Endodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
doi
10.22037/iej.v6i4.2518چکیده
ABSTRACT: Before initiating any endodontic therapy, probability of extra canals should be considered. The Incidence of three canals in mandibular second premolar has been reported to be 0.46-0.5%. The present report describes nonsurgical endodontic treatment of three mandibular second premolars with three canals. In these cases, three orifices were located in mesiobuccal, distobuccal and lingual. Mesiobuccal orifices were found after removing dentinal shelves. Even in teeth with extremely complex root canal morphologies, conventional endodontic treatment without surgical intervention can result in adequate healing, as in these cases. Clinicians should be aware of unusual root canal anatomy in mandibular premolars. Very careful examination of the pulpal space, preferably with an optical device is recommended to locate any unusual orifices.