Endodontic Management of Three-Rooted Mandibular Second Molar with Three Separate Orifices and Three Independent Portals of Exit: A Case Report

Author:

Jadhav Kapil R.1ORCID,VanPutte Cinnamon L.1,Tsotsis Polymnia1

Affiliation:

1. Southern Illinois University School of Dental Medicine, 2800 College Ave, Alton, IL 62002, USA

Abstract

Most mandibular second molars are usually found to have either one or two roots. However, mandibular second molars can also present with variations in the number of roots as well as differences in the morphology of their root canals. An 18-year-old male presented to the Department of Graduate Endodontics clinic with a morphologically variable mandibular second molar with three roots—two mesial and one distal. Two periapical radiographs were taken at different angles, revealing that there were three different canals in separate roots, each with independent portals of exit. This is a rare anatomical configuration. The success of endodontic treatment depends on accurate diagnosis, careful examination, identification of additional roots and canals, as well as detection of variations in root canal morphology. Failing to recognize these variations may lead to failures of root canal treatments and thus unsuccessful endodontic treatment.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference22 articles.

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3. Hess, W., and Zurcher, E. (1925). The Anatomy of Root Canals of the Teeth of the Permanent and Deciduous Dentition, William Wood.

4. Canal Configuration in the Mesiobuccal Root of the Maxillary First Molar and Its Endodontic Significance;Weine;Oral Surg. Oral Med. Oral Pathol.,1969

5. Root Canal Morphology of the Human Maxillary Second Premolar;Vertucci;Oral Surg. Oral Med. Oral Pathol.,1974

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