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Endodontic treatment of mandibular canine with two canals

By
Dajana Nogo-Živanović ,
Dajana Nogo-Živanović

Department of Restorative Dentistry and Endodontics, Faculty of Medicine, Foca, The Republic of Srpska, Bosnia and Herzegovina, University of East Sarajevo ,Lukavica ,Bosnia and Herzegovina

Dragan Ivanović ,
Dragan Ivanović

Department of Pediatric and Preventive Dentistry with Orthodontics, Faculty of Medicine, Foca, The Republic of Srpska, Bosnia and Herzegovina, University of Sarajevo ,Sarajevo ,Bosnia and Herzegovina

Tanja Ivanović ,
Tanja Ivanović

Department of Pediatric and Preventive Dentistry with Orthodontics, Faculty of Medicine, Foca, The Republic of Srpska, Bosnia and Herzegovina, University of East Sarajevo ,Lukavica ,Bosnia and Herzegovina

Marina Radanović ,
Marina Radanović
Biljana Vasiljević ,
Biljana Vasiljević
Miljan Ćorić ,
Miljan Ćorić

Faculty of Medicine Foca, University of East Sarajevo ,Lukavica ,Bosnia and Herzegovina

Ivana Simić ,
Ivana Simić

Faculty of Medicine, Foca, University of East Sarajevo ,Lukavica ,Bosnia and Herzegovina

Abstract

Introduction. Success in endodontic treatment depends upon the clinician's knowledge and ability to recognize and diagnose the presence of anatomical and morphological variations of the root and canal system. Mandibular canines are usually recognized as having one root and one root canal. In spite of the low incidence of mandibular canines with one root and two canals, their appearance should not be neglected due to the fact that the presence of a second canal in these teeth leads to difficulties in endodontic treatment. The aim of this case report is to describe mandibular canine with two root canals. Case presentation. 45-year-old patient presented for medical care due to the pain in a lower right canine. Clinical and radiographic examination revealed composite filling and caries with periapical radiolucent area and sensitivity to percussion in the mandibular right canine. By careful evaluation of the diagnostic radiology, it was observed that the mandibular canine had two canals. The patient was diagnosed with acute apical periodontitis and root canal therapy was given following the standard protocols. Conclusion. Although the prevalence of two canals in mandibular canine is low, the clinician should always be mindful of variations in the number of canals for appropriate therapeutic management.

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