Abstract

An awareness and understanding of the presence of an additional root and unusual root canal morphology is essential as it determines the successful outcome of endodontic treatment. A thorough knowledge of basic root canal anatomy and its variation is necessary for successful completion of endodontic treatment. This report points to the importance of looking for additional roots and canals with the help of operating microscope. Finding additional roots and canals would enable clinician to successfully treat a case that would otherwise not be successful.

Highlights

  • An awareness and understanding of the presence of an additional root and unusual root canal morphology is essential as it deterly mines the successful outcome of endodontic n treatment

  • This report points to the importance of looking for additional roots and canals with the s help of operating microscope

  • Finding addiu tional roots and canals would enable clinician l to successfully treat a case that would otheria wise not be successful. erc Introduction m A thorough knowledge of tooth morphology, m careful interpretation of angled X-rays, proper access preparation and a detailed exploration o of the tooth are essential prerequisites for a -c successful treatment outcome

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Summary

Case Report

A 35-year-old male patient reported with a history of pain in relation to the upper right posterior region. Root canal treatment of the particular tooth in question was initiated by a general dental practitioner. Even after the biomechanical preparation of all the three canals to the proper working length, the pain did not subside. The patient was referred for further treatment to the Pacific Dental College, Udaipur. Under local anesthesia of 2% lidocaine with 1;1,00,000 epinephrine, the temporary restoration was removed and the access preparation was evaluated for presence of any extra canals. Obturation of root canal space was performed with gutta-percha (Dentsply, Maillefer, Switzerland)) and AH plus resin sealer (Dentsply DeTrey Gmbh, Germany) (Figure 5) using a lateral condensation technique and the tooth was restored with a posterior composite filling P60 (3M FiltekTM, USA)

Discussion
Findings
The advantages of using an SOM during

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