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Bilateral mandibular canines with two roots and two separate canals: case report
Fausto Rodrigo Victorino1, Ricardo Affonso Bernardes, Jarcio Victorio Baldi
1Department of Restorative Dentistry, Endodontics and Dental Materials, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil. fr-victorino@ig.com.br
Brazilian Dental Journal
|May 26, 2009
Summary
This case report details a rare instance of bilateral mandibular canines exhibiting two roots and two root canals. Such anatomical variations in mandibular canines require careful consideration during endodontic treatment.
Area of Science:
- Dentistry
- Endodontics
- Dental Anatomy
Background:
- The mandibular canine is typically a single-rooted tooth with one root canal.
- Anatomical variations, including multiple roots and canals, are infrequently observed but documented.
Observation:
- A patient presented with bilateral mandibular canines, each possessing two distinct roots and two root canals.
- Initial periapical radiographs confirmed the presence of two roots in both the mandibular right and left canines.
Findings:
- Endodontic treatment was successfully performed on both mandibular canines, addressing the two-rooted, two-canaled anatomy.
- Root canal preparation utilized the ProTaper system, with canal length confirmed by an electronic apex locator.
- Radiographic and 6-month follow-up assessments indicated successful obturation and clinical outcomes.
Implications:
- This case highlights the importance of recognizing and managing uncommon root and canal morphology in mandibular canines during endodontic procedures.
- Clinicians must remain vigilant for anatomical variations to ensure effective endodontic treatment and favorable prognosis.
- Awareness of such variations can prevent diagnostic and therapeutic challenges in endodontic practice.
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