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Case: DT06 – Hidden Root Canals

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Case: DT06

A Patient came to for Root Canal treatment, 2nd lower premolar to be precise. So logically the anatomy of the lower 2nd premolar is as following:

[quote align=”center” color=”#999999″] Investigators reported that only 12% of mandibular second molars studied had a second or third canal. Vertucci also showed that the second premolar had one canal at the apex in 97.5% and two canals at the apex in only 2.5% of the teeth studied.[/quote] Source: The Root Canal Anatomy Project! 

The Root Canal Anatomy Project!

The Root Canal Anatomy Project!

Diagnosis

Preoperative radio-graph of the mandibular 2nd Premolar with two roots, mesial and distal

Preoperative radiograph

Preoperative radiograph

 

Treatment Plan

When I used my Loops I Found 4 Canals!!!!!

Mesial angulation(MB & ML canals)

Mesial angulation(MB & ML canals)

Distal angulation(DB & DL canals)

Distal angulation(DB & DL canals)


Obturation

Mesial angulation

Mesial angulation

Distal angulation

Distal angulation

Case Ownership

Professor Al-Fouzan, KSA. Published in the IEJ, 2001.

Conclusion

Expect the unexpectable, even though text books say says 99.99% is something, clinically you might be Surprised by something completely out of this world. So Remember, text books are something you follow blindly but they are a guide line that help and guide to reach the optimum results.

Did anyone face a case that is completely out this world? please comment and let us know!!!  

 


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About Author

Dr. Mohsen Saeed Ozaibi

A Dentist, Professional Blogger and Owner on OziDent.com. Graduated in 2009 with a Bachelor Degree in Dental Science from Misr International University. A Pioneer in Digital Dental Content Publishing.

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