Challenging anatomy: Successful management of a mandibular central incisor with two canals
https://doi.org/10.36377/ET-0057
Abstract
The presence of two canals in a mandibular central incisor represents a rare and complex challenge for dentists. This case report describes the management of a patient with a mandibular central incisor exhibiting two distinct root canals. It emphasizes the importance of understanding canal anatomy to avoid endodontic failures and highlights the difficulties associated with identifying and negotiating uncommon anatomical variations. The low incidence of this anatomical variant underscores the necessity for adequate preparation and a targeted approach in managing such cases.
About the Authors
F. GallettiItaly
Fulvia Galletti – Department of Biomedical and Dental Sciences, Morphological and Functional Images
98100 Messina
Competing Interests:
The authors declare no conflict of interests
C. D’Amico
Russian Federation
Cesare D’Amico – Department of Biomedical and Dental Sciences, Morphological and Functional Images
98100 Messina
Competing Interests:
The authors declare no conflict of interests
E. Pedullà
Italy
Eugenio Pedullà – Department of General Surgery and Surgical-Medical Specialties, School of Dentistry
Via S. Sofia 78, 95124 Catania
Competing Interests:
The authors declare no conflict of interests
A. Mathur
India
Ankita Mathur – Department of Dental Cell Research
Dr. D.Y. Patil Vidyapeeth, Pune 411018, Maharashtra
Competing Interests:
The authors declare no conflict of interests
G. Cervino
Italy
Gabriele Cervino – Department of Biomedical and Dental Sciences, Morphological and Functional Images
98100 Messina
Competing Interests:
The authors declare no conflict of interests
L. Fiorillo
Italy
Luca Fiorillo – Department of Biomedical and Dental Sciences, Morphological and Functional Images; Department of Dental Cell Research; Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties
98100 Messina
Dr. D.Y. Patil Vidyapeeth, Pune 411018, Maharashtra
80121 Naples
Competing Interests:
The authors declare no conflict of interests
References
1. Alobaid M.A., Alshahrani E.M., Alshehri E.M., Shai ban A.S., Haralur S.B., Chaturvedi S., Khaled Addas M. Ra diographic assessment of root canal morphology of man dibular central incisors using new classification system: A cross-sectional study. Medicine. 2022;101(37):e30751. https://doi.org/10.1097/MD.0000000000030751
2. Kayaoglu G., Peker I., Gumusok M., Sarikir C., Kayadu gun A., Ucok O. Root and canal symmetry in the mandibular anterior teeth of patients attending a dental clinic: CBCT study. Braz Oral Res. 2015;29:S1806-83242015000100283. https://doi.org/10.1590/1807-3107BOR-2015.vol29.0090
3. Martins J.N.R., Worldwide Anatomy Research Group, Versiani M.A. Worldwide prevalence of the lingual canal in mandibular incisors: A multicenter cross-sectional study with meta-analysis. J Endod. 2023;49(7):819–835. https://doi.org/10.1016/j.joen.2023.05.012
4. Plotino G., Grande N.M., Pecci R., Bedini R., Pamei jer C.H., Somma F. Three-dimensional imaging using microcomputed tomography for studying tooth macro morphology. J Am Dent Assoc. 2006;137(11):1555–1561. https://doi.org/10.14219/jada.archive.2006.0091
5. Barbhai S., Shetty R., Joshi P., Mehta V., Mathur A., Shar ma T. et al. Evaluation of root anatomy and canal confi- guration of human permanent maxillary first molar using cone-beam computed tomography: A systematic re view. Int J Environ Res Public Health. 2022;19(16):10160. https://doi.org/10.3390/ijerph191610160
6. Zehnder M. Root canal irrigants. J Endod. 2006;32(5):389–398. https://doi.org/10.1016/j.joen.2005.09.014
7. Versiani M.A., Leoni G.B., Steier L., De-Deus G., Tas sani S., Pécora J.D., de Sousa-Neto M.D. Micro-com puted tomography study of oval-shaped canals prepared with the self-adjusting file, Reciproc, WaveOne, and Pro Taper universal systems. J Endod. 2013;39(8):1060–1066. https://doi.org/10.1016/j.joen.2013.04.009
8. Hülsmann M., Hahn W. Complications during root canal irrigation – literature review and case reports. Int Endod J. 2000;33(3):186–193. https://doi.org/10.1046/j.1365-2591.2000.00303.x
9. Siqueira J.F. Jr, Rôças I.N. Optimising single-visit disin fection with supplementary approaches: a quest for pre dictability. Aust Endod J. 2011;37(3):92–98. https://doi.org/10.1111/j.1747-4477.2011.00334.x
10. Fiorillo L., D’Amico C., Meto A., Mehta V., Lo Giudice G., Cervino G. Sodium hypochlorite accidents in endo dontic practice: Clinical evidence and state of the art. J Craniofac Surg. 2024;35(7):e636–e645. https://doi.org/10.1097/SCS.0000000000010407
11. Lup V.M., Malvicini G., Gaeta C., Grandini S., Ciavoi G. Glide path in endodontics: a literature review of current knowledge. Dent J. 2024;12(8):257. https://doi.org/10.3390/dj12080257
Review
For citations:
Galletti F., D’Amico C., Pedullà E., Mathur A., Cervino G., Fiorillo L. Challenging anatomy: Successful management of a mandibular central incisor with two canals. Endodontics Today. 2024;22(4):368–372. https://doi.org/10.36377/ET-0057