Oral Health and Dental Management

Endodontic management of a mandibular first premolar with deep split into three canals: case report

Joint Webinar: 34^th American Dentistry Congress & 4^th Annual Congress on Dental Health and Oral Care

March 29, 2023 | Webinar

Dr. Disha Gupta

Clover Medical centre, Dubai , United Arab Emirates

Scientific Tracks Abstracts: OHDM

Abstract:

Mandibular first premolars usually have a one root and one root canal but it shows a wide variety of abnormal root canal anatomy. Especially, the occurrence of three canals with deep apical split in mandibular first premolars is very rare. The incidence of a three-canaled mandibular first premolar is approximately 0.2%. That’s make such teeth most difficult to manage endodontically. Knowledge of root canal morphology, proper radiographic interpretation, Cone beam CT scan interpretation, use of magnification in terms of dental operating microscope, and scouting of the root canals are important in detecting the presence of the multiple canals. Case presentation: A middle age man presented to our clinic with pain in the right mandibular first premolar. The diagnosis of acute apical periodontitis was made on the basis of clinical and radiographic examinations. Hence, root canal treatment was recommended. After preparing the access cavity, the orifices were found by removing the dentinal shelves. The root canals were shaped using combination of hand and rotary files and were obturated using the bio ceramic sealer and gp cones. This clinical case report describes a case of a successful nonsurgical endodontic management of a mandibular first premolar with three root canals Conclusion: Mandibular premolars can present with an extremely complex root canal morphology, which if not considered during the treatment, it can lead to post-treatment complications, failure, or flare-ups. Key learning points • Thorough clinical and radiographic interpretation is important in recognizing anomaly in 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. • Always better to take micro CT or cone beam CT scan to check the root canal anatomy Keywords: anomaly, mandibular premolars, root canal, deep split, endodontic

Biography :

Dr. Disha Gupta has Post Graduate Certificate in Endodontic (PGCE), Modern Dental College and Hospital, Indore, 2013, Bachelor of Dental Surgery B.D.S. 2010 Currently pursuing Masters in Endodontic from University of Birmingham (UK) MJDF PART 1 CLEARED (ROYAL COLLEGE OF SURGEONS ENGLAND) Certification of ESTHETIC DENTISTRY from New York UNIVERSITY, 2015 (Linhart program) Certified LUMINEERS PROVIDER (DENMAT US) Practicing in Dubai (UAE) as a microscopic endodontist for 7 years.