The Essential Guide to Managing morphological oddity of Two-rooted Mandibular Premolar: A case report with review of 10 years incidence
Managing morphological oddity of Two-rooted Mandibular Premolar: A case report
Keywords:
Accessory root, Mandibular premolar, Root canal therapy.
Abstract
Introduction- The root canal morphology of teeth is often extremely complex and highly variable. One such morphological oddity is the presence of two roots, with a reported incidence of 1.8%.
Case- A 16-year-old female patient complains of pain in the posterior left mandibular tooth for the past 2 weeks. After clinical, radiographic examination, and vitality testing, we diagnosed the patient with Acute apical periodontitis of tooth #34. It was decided to treat the left mandibular first premolar with two roots endodontically. The patient was reviewed after 1 month, 3 months, 6 months , 1 year and radiographs showed satisfactory healing.
Conclusion- This case report details the endodontic management of a sparse case of mandibular first premolar with two roots and two canals, which ended with a favorable outcome due to the satisfactory execution of the preferred constituents.
References
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A Mandibular First Premolar with Three Root Canals: A Case Report. J Res
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15. Daneshvar F, Baziar H, Karkehabadi H, Jafarzadeh H, Bhandi S, Patil S. Mandibular first premolars with one root and three canals: A Case Series. J Contemp Dent Pract 2015;16(6):519-22. DOI:10.5005/jp-journals-10024-1715.
16. Vaghela DJ, Sinha AA. Endodontic management of four rooted mandibular first premolar. J Conserv Dent. 2013 Jan;16(1):87-9. doi: 10.4103/0972-0707.105307.
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2. Slowey RR. Root canal anatomy. Road map to successful endodontics. Dent clin North Am 1979;23:555-73. https://doi.org/10.1016/S0011-8532(22)03170-6.
3. Kararia N, Chaudhary A, Kararia V. Mandibular left first premolar with two roots: A morphological oddity. Contemp Clin Dent 2012;3:234-6.DOI: 10.4103/0976-237X.96840.
4. Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular first premolar: a literature review. J Endod. 2007;33(5):509-16. DOI: 10.1016/j.joen.2007.03.020
5. Gómez Sosa JF. Diagnosis and endodontic management of a mandibular second premolar with four root canals. ENDO (Lond Engl) 2008;2(4):285–289. https://www.researchgate.net/publication/305730943_Diagnosis_and_endodontic_management_of_a_mandibular_second_premolar_with_four_root_canals
6. Ingle JI, Baumgartner JC. Ingle's endodontics 6: PMPH -USA; 2008.
7. Scott R, Turner C 2nd. The anthropology of modern human teeth. Cambridge: Cambridge University Press; 2000. DOI: https://doi.org/10.1017/CBO9781316529843
8. Sert S, Bayirili GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 2004;30:391-8. doi: 10.1097/00004770-200406000-00004.
9. Solete P, Priscilla Antony SD, Teja KV, Chandragupta MS, Sanju D, Suresh Babu NM. Endodontic management of aberrant canal morphology in mandibular premolar: A case series. J Conserv Dent. 2023 Mar-Apr;26(2):236-240. doi: 10.4103/jcd.jcd_548_22.
10. Kalyankar S, Sharma AS, Jadhav A, Patil R, Gujarathi N, Bhagwat D. Mandibular Premolars, an Enigma to Endodontists : A Case Series. Eur. Chem. Bull. 2023;12(4):12087-92. DOI: 10.48047/ecb/2023.12.si4.1085
11. Zhang M, Xie J, Wang YH, Feng Y. Mandibular first premolar with five root canals: a case report. BMC Oral Health. 2020 Sep 10;20(1):253. doi: 10.1186/s12903-020-01241-0.
12. Izaz, Shaik; Dasari, Bhargavi1; Bolla, Nagesh; Neelakantan, Prasanna2. Unusual root canal morphology of mandibular first premolar and its management: A rare case report. Journal of Conservative Dentistry 21(3):p 344-347, May–Jun 2018. | DOI: 10.4103/JCD.JCD_312_16
13. Ramdas R, Jayasree S, Kumar R, Rahman NK, Rajeesh MK, Raj G. Management of Mandibular Premolar with Two Roots: Two Case Reports. IOSR J Dent Med Sci 2017;16(5): 116-119. DOI: 10.9790/0853-160506116119.
Hoshyari N, Haddadi A. Endodontic Treatment of
A Mandibular First Premolar with Three Root Canals: A Case Report. J Res
Dentomaxillofac Sci. 2017;2(4):50-54.
14. Hoshyari N, Haddadi A. Endodontic Treatment of A Mandibular First Premolar with Three Root Canals: A Case Report. J Res Dentomaxillofac Sci. 2017;2(4):50-54. DOI:10.29252/jrdms.2.4.50
15. Daneshvar F, Baziar H, Karkehabadi H, Jafarzadeh H, Bhandi S, Patil S. Mandibular first premolars with one root and three canals: A Case Series. J Contemp Dent Pract 2015;16(6):519-22. DOI:10.5005/jp-journals-10024-1715.
16. Vaghela DJ, Sinha AA. Endodontic management of four rooted mandibular first premolar. J Conserv Dent. 2013 Jan;16(1):87-9. doi: 10.4103/0972-0707.105307.
17. Kakkar P , Singh A. Mandibular First Premolar with Three Roots: A Case Report. Ira Endo J 2012;7(4):207-210. PMID: 23130081; PMCID: PMC3487526.
18. Serman NJ, Hasselgren G. The radiographic incidence of multiple roots and canals in human mandibular premolars. Int Endod J. 1992;25(5):234–7. DOI: 10.1111/j.1365-2591.1992.tb01155.x
19. Tzanetakis GN, Lagoudakos TA, Kontakiotis EG. Endodontic Treatment of a Mandibular Second Premolar with Four Canals Using Operating Microscope. J Endod. 2007;33(3):318–21. DOI:10.1016/J.JOEN.2006.08.006
20. Krasner P, Rankow HJ. Anatomy of the Pulp-Chamber Floor. J Endod. 2004;30. DOI: 10.1097/00004770-200401000-00002
Published
2024-07-25
How to Cite
Dua, R., Gangwar, A., & De, S. (2024). The Essential Guide to Managing morphological oddity of Two-rooted Mandibular Premolar: A case report with review of 10 years incidence. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 10(2). https://doi.org/10.21276/ujds.2024.10.2.25
Section
Case Reports
