Anomalous mandibular premolars: a mandibular first premolar with three roots and a mandibular second premolar with a C-shaped canal system.

Abstract:

AIM:To describe unusual variations in the root morphology and root canal systems of mandibular first and second premolar teeth extracted for orthodontic reasons. SUMMARY:Normally mandibular first and second premolar teeth have single roots with single canals. A 15-year-old patient presented for orthodontic treatment and two mandibular premolar teeth were examined post-extraction. The mandibular first premolar exhibited three distinct, separate roots and the mandibular second premolar exhibited a C-shaped root canal system. The coronal morphology of each of the mandibular premolars revealed dimensions and anatomy within normal limits. The incidence of a three-rooted mandibular first premolar is approximately 0.2%. KEY LEARNING POINTS:* Thorough clinical and radiographic interpretation is important in recognizing anomalous root and root canal systems. * The most common forms of root and canal systems and its aberrations must be understood to realize variations from normal do occur. * Successful root canal treatment requires an accurate diagnosis of the root canal system using all available aids. * Value of microcomputed tomography in the study of anatomy ex vivo and cone-beam tomography in clinical endodontics of complex premolar cases is increasing.

journal_name

Int Endod J

authors

Cleghorn BM,Christie WH,Dong CC

doi

10.1111/j.1365-2591.2008.01451.x

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1005-14

issue

11

eissn

0143-2885

issn

1365-2591

pii

IEJ1451

journal_volume

41

pub_type

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