Journal of AdvancedMedical and Dental Sciences Research

Aim: The aim of the paper was to report an unusual case of mandibular second molar with three independent mesial canals.  Background: Successful endodontic therapy depends on three dimentional obturation of root canals after proper biomechanical preparation of all the canals and thorough irrigation. Presence of aberrant canal has been commonly encountered in endodontic practice and needs to be managed carefully by clinicians. Missed canals are often, the most common reason of endodontic failure. Use of operating microscope and magnifying loupes aids in locating and efficiently preparing these canals.  Case description: This case report describes a case of mandibular left second molar with three independent mesial canals. A female patient reported to the deparment of conservative dentistry and endodontics with complain of carious left lower back tooth. After careful clinical and radiological examination root canal treatment of the tooth was planned. Access opening of tooth revealed extra canal in the mesial side. The tooth was managed using operative microscope and all canals were prepared and subsequently obturated. Conclusion: Proper detection of these extra canals and there efficient cleaning and shaping will improve the prognosis of endodontic treatment. Operating microscope, magnifying loupes, CBCT are all important aids in locating these supplemental root canals.

Key words: extra canal, radix, dental anomaly, advanced diagnostic method, microscope.

Received: 24 February, 2019                             Revised: 23 March, 2019                         Accepted: 27 March, 2019
Corresponding author: Dr. Prasad Patel, Department of Conservative Dentistry and Endodontics, Faculty of Dental Science, IMS, BHU , Uttar Pradesh, India

This article may be cited as: Mittal N, Parashar V, Patel P. A Rare Case of Mandibular Second Molar with 3 Independent Mesial Canals: A Case Report. J Adv Med Dent Scie Res 2019;7(4): 103-105.