Abstract

The aim of this case report is to add to literature the occurrence of the ‘radiculous’ or three- rooted maxillary upper premolar and the guidelines to manage such a case. Recognition of unusual canal configurations and variations are paramount because it has been established that the root with a single tapering canal and the apical foramen is the exception rather than rule. A female patient presented with symptoms of pain in the left upper quadrant. A diagnosis of irreversible pulpitis was arrived at. Magnification and illumination aided in the visualization of a premolar with three roots. Root canal treatment was then successfully completed.

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