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CASE REPORT
Year : 2017  |  Volume : 4  |  Issue : 4  |  Page : 107-113

Unusual root canal morphology of mandibular second premolars: A case series and review


1 Department of Conservative Dentistry and Endodontics, VSPM's Dental College and Research Centre, Nagpur, Maharashtra, India
2 Department of Conservative Dentistry and Endodontics, SV Dental College, Bengaluru, Karnataka, India

Correspondence Address:
Dr Snehal Sonarkar
Department of Conservative Dentistry and Endodontics, VSPM's Dental College and Research Center, Digdoh Hills, Hingna Road, Nagpur - 440 019, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdrr.jdrr_64_17

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Mandibular second premolars (MSPs) have varied anatomy ranging from 1 to 3 roots and 1–5 canals. Successful endodontic treatment is achieved by proper access opening, cleaning, and shaping and three-dimensional obturation. This case series describes five cases in which MSPs have been diagnosed with aberrant canal system. The Case 1 and 5 has one root with Vertucci's Type V canal configuration. The Case 2 has two roots with two canals, the Case 3 has one root with Vertucci's Type IV canal configuration, whereas the Case 4 has three roots with three canals. This case series also describes a classification for describing the root configuration. The clinical implications of this paper are first to reach at appropriate diagnosis of canal system using diagnostic aids (angulated radiographs and dental operating microscope). Second, to use advanced endodontic instruments for achieving successful endodontic therapy (NiTi rotary instruments).


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