Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review

Usually, the mandibular canine only has one root and one root canal. However, there has been a noticeable increment in evidence showing variations in its morphology, such as the presence of two roots and two root canals. The aim of this article was to present a case of a mandibular canine with two r...

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Main Authors: Hugo Plascencia, Álvaro Cruz, Gerardo Gascón, Beatriz Ramírez, Mariana Díaz
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2017/8459840
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spelling doaj-dad6e40eee8f41a28c54428c2d1fd1a12021-07-02T10:04:54ZengHindawi LimitedCase Reports in Dentistry2090-64472090-64552017-01-01201710.1155/2017/84598408459840Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature ReviewHugo Plascencia0Álvaro Cruz1Gerardo Gascón2Beatriz Ramírez3Mariana Díaz4Endodontic Postgraduate Program, CUCS-CUAltos, University of Guadalajara, Guadalajara, JAL, MexicoResearch Institute in Biomedical Sciences, CUCS, University of Guadalajara, Guadalajara, JAL, MexicoEndodontic Postgraduate Program, CUCS, University of Guadalajara, Guadalajara, JAL, MexicoEndodontic Postgraduate Program, CUCS, University of Guadalajara, Guadalajara, JAL, MexicoEndodontic Postgraduate Program, CUCS-CUAltos, University of Guadalajara, Guadalajara, JAL, MexicoUsually, the mandibular canine only has one root and one root canal. However, there has been a noticeable increment in evidence showing variations in its morphology, such as the presence of two roots and two root canals. The aim of this article was to present a case of a mandibular canine with two roots and two root canals and to review the available literature on this anatomic variation. Root canal treatment of tooth #43 with such morphology was performed in a 47-year-old woman. Careful inspection of the preoperative radiograph indicated the presence of more than one canal. The 12-month follow-up showed normal periapical tissues, with no pain or tenderness. Literature review revealed that the overall prevalence of such root canal configuration is 5.7%, with a strong preference for female sex (87.5%). Although mandibular canines with two roots and two root canals are not common, clinicians should always anticipate the presence of possible variations. Therefore, timely diagnosis and meticulous exploration of such mandibular canines allow for planning of an individualized treatment protocol, tailored to their peculiar morphology, focused on avoiding excessive weakening or even perforation of the roots.http://dx.doi.org/10.1155/2017/8459840
collection DOAJ
language English
format Article
sources DOAJ
author Hugo Plascencia
Álvaro Cruz
Gerardo Gascón
Beatriz Ramírez
Mariana Díaz
spellingShingle Hugo Plascencia
Álvaro Cruz
Gerardo Gascón
Beatriz Ramírez
Mariana Díaz
Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review
Case Reports in Dentistry
author_facet Hugo Plascencia
Álvaro Cruz
Gerardo Gascón
Beatriz Ramírez
Mariana Díaz
author_sort Hugo Plascencia
title Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review
title_short Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review
title_full Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review
title_fullStr Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review
title_full_unstemmed Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review
title_sort mandibular canines with two roots and two root canals: case report and literature review
publisher Hindawi Limited
series Case Reports in Dentistry
issn 2090-6447
2090-6455
publishDate 2017-01-01
description Usually, the mandibular canine only has one root and one root canal. However, there has been a noticeable increment in evidence showing variations in its morphology, such as the presence of two roots and two root canals. The aim of this article was to present a case of a mandibular canine with two roots and two root canals and to review the available literature on this anatomic variation. Root canal treatment of tooth #43 with such morphology was performed in a 47-year-old woman. Careful inspection of the preoperative radiograph indicated the presence of more than one canal. The 12-month follow-up showed normal periapical tissues, with no pain or tenderness. Literature review revealed that the overall prevalence of such root canal configuration is 5.7%, with a strong preference for female sex (87.5%). Although mandibular canines with two roots and two root canals are not common, clinicians should always anticipate the presence of possible variations. Therefore, timely diagnosis and meticulous exploration of such mandibular canines allow for planning of an individualized treatment protocol, tailored to their peculiar morphology, focused on avoiding excessive weakening or even perforation of the roots.
url http://dx.doi.org/10.1155/2017/8459840
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