Identification and treatment of second mesiobuccal canal in primary maxillary molars during pulpectomy procedure in pediatric dental patients

Abstract

Endodontics in primary teeth is a significant challenge in pediatric dental patients due to behavioural, anatomic and access related issues. The role, these primary teeth serve is important for space maintenance, mastication, speech and occlusion. The permanent molars have shown high prevalence of second mesiobucal canal as outlined by many studies which have been crucial for endodontic success. In case of primary teeth, a similar question can be raised by attempting to evaluate presence of MB2 canals in primary maxillary molars. This paper aims to sensitize the possibility of presence of MB2 canals in primary maxillary first and second molars with discussion about identifying, instrumenting and obturating such canals for the increased diagnostic and prognostic accuracy in primary molar endodontics.