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Mandibular Canine

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Mandibular canines have less anatomical diversities than other teeth. Mandibular canine is generally single rooted tooth with one wide root canal. This case describes the root canal treatment of a mandibular canine with two completely separate root canals in a single root. Clinical and radiographic examination revealed a mandibular canine with carious lesion and pulp exposure, tender to percussion. The precise understanding of the dental endocanalicular system’s anatomy is critical in the success of the root canal management.
Keywords: mandibular canine, endodontics, two canals, anatomical variations
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1 Department of Operative Dentistry, Bahria University Medical and …show more content…
The clinical examination revealed mandibular left canine had proximal caries involving pulp. Periapical radiographic showed pulp exposure and patient was diagnosed with irreversible pulpitis. Any unusual medical histories were not revealed. After informed consent was obtained from the patient, Root canal procedure was started after administrating local anesthesia 2% lidocaine. Rubber dam was placed and endodontic access cavity was created through the center area of the lingual surface using a long-shank, round bur on a high-speed handpiece and an Endo Z tapered safe-end bur. Only one root canal orifice was found in the center of the tooth after access cavity opening. The pulp was extirpated completely using a K-hand file size No. 10 and 15. After removal of infected pulp, another canal toward labial side was visible. (Figure.1) The pulp was removed from this canal by using a K-hand file size No. 10 and 15. Working length of both canals was taken with electronic apex locator. The length of the buccal canal was of 22 mm and the lingual was also of 22 mm and No. 25 K-files were placed in both canal and radiograph was taken at two different angulations to confirm the presence of extra canals (Figure 2). Radiograph revealed the presence of two canals and one root. In the next stage, the mechanical treatment was performed. The canals were prepared using a step back instrumentation technique with a hand file with master apical filling up to No. 30. We rinsed the endodontic space with plenty of antiseptic solution, using a 2.5% of sodium hypochlorite as Irrigants, at every change of instruments. The canals were dried with sterile paper

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