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Endodontic management of mandibular canine with two roots and two canals: a rare case report
BACKGROUND: In general, mandibular canines have a single root and a single canal. The occurrence of two roots and two canals is a rare entity ranging from 1 to 5%. The anatomy of root canal morphology plays a decisive role in determining the conditions under which endodontic treatment can be perform...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806495/ https://www.ncbi.nlm.nih.gov/pubmed/29422108 http://dx.doi.org/10.1186/s13104-018-3226-8 |
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author | Roy, Deepak Kumar Cohen, Stephen Singh, Varun Pratap Marla, Vinay Ghimire, Siddharth |
author_facet | Roy, Deepak Kumar Cohen, Stephen Singh, Varun Pratap Marla, Vinay Ghimire, Siddharth |
author_sort | Roy, Deepak Kumar |
collection | PubMed |
description | BACKGROUND: In general, mandibular canines have a single root and a single canal. The occurrence of two roots and two canals is a rare entity ranging from 1 to 5%. The anatomy of root canal morphology plays a decisive role in determining the conditions under which endodontic treatment can be performed effectively. Successful endodontic treatment comprises proper diagnosis, meticulous cleaning and shaping followed by three dimensional obturation. Failure to do so may lead to postoperative diseases, pain and further complications. This paper reports successful management of a mandibular canine with two roots and two canals. CASE PRESENTATION: 45-year-old Nepalese women with a non-significant medical history presented with a chief complaint of pain in a lower left front tooth. The pain disturbed her sleep and lingered for several minutes even after removal of a thermal stimulus. Clinical examination and testing revealed generalized severe attrition with tenderness to percussion in the mandibular left canine. Electric pulp test for all the mandibular anteriors revealed almost no response in the mandibular left canine. Intraoral periapical radiographs in different angulations were taken which revealed two roots and two canals. A clinical diagnosis of chronic irreversible pulpitis with symptomatic apical periodontitis was made and root canal therapy was performed following the standard protocols. CONCLUSION: Although the prevalence of two roots and two canals in mandibular canine is very low, the clinician should always be mindful of variations in the number of roots and canals for proper management of such cases. |
format | Online Article Text |
id | pubmed-5806495 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-58064952018-02-15 Endodontic management of mandibular canine with two roots and two canals: a rare case report Roy, Deepak Kumar Cohen, Stephen Singh, Varun Pratap Marla, Vinay Ghimire, Siddharth BMC Res Notes Case Report BACKGROUND: In general, mandibular canines have a single root and a single canal. The occurrence of two roots and two canals is a rare entity ranging from 1 to 5%. The anatomy of root canal morphology plays a decisive role in determining the conditions under which endodontic treatment can be performed effectively. Successful endodontic treatment comprises proper diagnosis, meticulous cleaning and shaping followed by three dimensional obturation. Failure to do so may lead to postoperative diseases, pain and further complications. This paper reports successful management of a mandibular canine with two roots and two canals. CASE PRESENTATION: 45-year-old Nepalese women with a non-significant medical history presented with a chief complaint of pain in a lower left front tooth. The pain disturbed her sleep and lingered for several minutes even after removal of a thermal stimulus. Clinical examination and testing revealed generalized severe attrition with tenderness to percussion in the mandibular left canine. Electric pulp test for all the mandibular anteriors revealed almost no response in the mandibular left canine. Intraoral periapical radiographs in different angulations were taken which revealed two roots and two canals. A clinical diagnosis of chronic irreversible pulpitis with symptomatic apical periodontitis was made and root canal therapy was performed following the standard protocols. CONCLUSION: Although the prevalence of two roots and two canals in mandibular canine is very low, the clinician should always be mindful of variations in the number of roots and canals for proper management of such cases. BioMed Central 2018-02-08 /pmc/articles/PMC5806495/ /pubmed/29422108 http://dx.doi.org/10.1186/s13104-018-3226-8 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Roy, Deepak Kumar Cohen, Stephen Singh, Varun Pratap Marla, Vinay Ghimire, Siddharth Endodontic management of mandibular canine with two roots and two canals: a rare case report |
title | Endodontic management of mandibular canine with two roots and two canals: a rare case report |
title_full | Endodontic management of mandibular canine with two roots and two canals: a rare case report |
title_fullStr | Endodontic management of mandibular canine with two roots and two canals: a rare case report |
title_full_unstemmed | Endodontic management of mandibular canine with two roots and two canals: a rare case report |
title_short | Endodontic management of mandibular canine with two roots and two canals: a rare case report |
title_sort | endodontic management of mandibular canine with two roots and two canals: a rare case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806495/ https://www.ncbi.nlm.nih.gov/pubmed/29422108 http://dx.doi.org/10.1186/s13104-018-3226-8 |
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