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Endodontic Treatment of Four Mandibular Incisors with Two Root Canals and Separate Foramina : A Case Report

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ÀÌÁøÈñ ( Lee Jin-Hee ) - Private practice
±èÀǼº ( Kim Eui-Seong ) - Yonsei University College of Dentistry Department of Conservative Dentistry
¹ÚÁ¤¿ø ( Park Jeong-Won ) - Yonsei University College of Dentistry Gangnam Severance Dental Hospital Department of Conservative Dentistry
½Å¼öÁ¤ ( Shin Su-Jung ) - Yonsei University College of Dentistry Gangnam Severance Dental Hospital Department of Conservative Dentistry

Abstract


Introduction: This case report describes the endodontic treatment of four mandibular incisors with two root canals and separate foramina.

Case Report: All mandibular incisors showed poor endodontic treatment and apical radiolucency. In three incisors with the exception of the left central incisor, two canals were observed at the first attempt through a careful examination of the periapical radiographs and pulp chamber. An additional successful attempt was made to identify the second root canal of the left central incisor by reference to the location of root canal orifice of the other three incisors. All mandibular incisors had two separate foramina. All lower incisors were asymptomatic after treatment.

Conclusion: A careful access cavity under a microscope and periapical radiographs taken from different horizontal angles during treatment helped locate and prepare the second canal.

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mandibular incisor; two root canals

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