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Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review
Hugo Plascencia1, Álvaro Cruz2, Gerardo Gascón3
1Endodontic Postgraduate Program, CUCS-CUAltos, University of Guadalajara, Guadalajara, JAL, Mexico.
Case Reports in Dentistry
|October 24, 2017
Summary
Mandibular canines typically have one root and canal, but variations with two exist. This case highlights the importance of identifying and treating these rare anatomical variations for successful outcomes.
Area of Science:
- Dentistry
- Endodontics
- Anatomy
Background:
- The mandibular canine typically presents with a single root and root canal.
- Anatomical variations in tooth morphology are increasingly documented.
- Understanding root canal anatomy is crucial for successful endodontic treatment.
Observation:
- A case of a mandibular canine with two roots and two root canals is presented.
- The patient, a 47-year-old woman, underwent root canal treatment for tooth #43.
- Preoperative radiographs suggested the presence of multiple canals.
Findings:
- The root canal treatment was successful, with normal periapical tissues at 12-month follow-up.
- Literature review indicates a prevalence of 5.7% for this mandibular canine root configuration.
- This variation shows a strong predilection for the female sex (87.5%).
Implications:
- Clinicians must anticipate and diagnose variations in mandibular canine root and canal morphology.
- Meticulous exploration and individualized treatment planning are essential.
- Avoiding excessive weakening or perforation of the root is critical during endodontic procedures.
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