Endodontic Retreatment of a Mandibular Second Premolar with Four Roots and Four Canals: A Case Report ZD14-ZD17
Dr. Divya Gupta
Lecturer, Department of Conservative Dentistry and Endodontics, D Y Patil Dental School, Dr. D Y Patil Knowledge City, Charholi-Budruk, via Lohegaon, Pune-412105, Maharashtra, India.
It is a well-recognised fact that incomplete cleaning, shaping and obturation of root canals will lead to endodontic failure. Mandibular second premolars usually have a single root and a single root canal. The presence of four separate roots and four root canals is quite rare. Hence, a comprehensive knowledge about the normal canal configuration along with its variations becomes an indispensable pre-requisite to achieve the success of endodontic treatment. We present a case report that describes the successful retreatment of the mandibular second premolar with four roots and four root canals. The clinical implications of this paper aim at establishing an accurate diagnosis of the root canal system using diagnostic aids such as angulated radiographs and making use of advanced endodontic instruments for successful retreatment of endodontic therapy (C+ files and NiTi rotary endodontic instruments).