Case: DT06 – Hidden Root Canals

Case: DT06

A Patient came to for Root Canal treatment, 2nd lower premolar to be precise. So logically the anatomy of the lower 2nd premolar is as following:

[quote align=”center” color=”#999999″] Investigators reported that only 12% of mandibular second molars studied had a second or third canal. Vertucci also showed that the second premolar had one canal at the apex in 97.5% and two canals at the apex in only 2.5% of the teeth studied.[/quote]
Source: The Root Canal Anatomy Project! 

Diagnosis

Preoperative radio-graph of the mandibular 2nd Premolar with two roots, mesial and distal

Treatment Plan

When I used my Loops I Found 4 Canals!!!!!

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Obturation

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Case Ownership

Professor Al-Fouzan, KSA. Published in the IEJ, 2001.

Conclusion

Expect the unexpectable, even though text books say says 99.99% is something, clinically you might be Surprised by something completely out of this world. So Remember, text books are something you follow blindly but they are a guide line that help and guide to reach the optimum results.

Did anyone face a case that is completely out this world? please comment and let us know!!!