People's Journal of Scientific Research
Published December 1, 2015 | Version v1
Journal article Open

Endodontic Management of Mandibular Second Molars with 'C' Shaped Root Canal Configuration – Reports of Three Cases

Creators

  • 1. Department of Conservative Dentistry, Sri Aurobindo College of Dentistry, Devi Ahilya University, Indore (India)
  • 2. Department of Endodontics, Sri Aurobindo College of Dentistry, Devi Ahilya University, Indore (India)

Description

Recognition of unusual variations in the canal configuration is critical because it has been established that the root with a single tapering canal and an apical foramen is an exception rather than the rule. The C- shaped configuration, which is an important anatomic variation, is characterized by a C-shaped groove that connects one or more root canals. This groove can occur anywhere along the root canal system, making it difficult to diagnose and treat. Furthermore, C-shaped canals are challenging if not possible to predict radio graphically. The aim of presented three case reports is to describe different types of C-shaped canals in mandibular second molars and their endodontic management. In the first case report of tooth #47, preoperative radiograph showed fusion of roots, and the root canal outline were not clear. Therefore CBCT was advised to the patient confirming the C shaped root canal configuration, which persisted along the entire length and width of the C-shaped root canal and exits at single apical foramen. In the second case report of tooth #47, the anatomy of the floor of the pulp chamber suggested an incomplete “C” with the fusion of the mesiolingual and distal root canals and a separate orifice for mesiobuccal root canal giving the appearance of semicolon (;) The third case report of tooth #47 radiographically, the tooth had unusual root morphology with a single conical root. Clinically, the pulp chamber floor had a C-shaped continuous trough.

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