Mandibular canines usually have one root with one root canal. However, variations may occur. The present study reports two cases of successful retreatment of two mandibular canines with two roots and two root canals, a rarer configuration. In both cases reported, the unsuccessful treatment in the primary endodontic intervention was due to overlooking the lingual root canals, which were identified when periapical radiographs were taken at a mesial angle. Because canals missed during endodontic therapy may lead to periapical periodontitis, it is important to take radiographs from different angles, analyze the pulp chamber floor, and consider the variations in root canal morphologies. After performing the access cavity and observing an isthmus in both cases, the lingual root canals were located and instrumented. Calcium hydroxide dressing was used between appointments, and the root canals were filled with different sealers in each case (epoxy resin-based and bioceramic sealers). The follow-up X-rays taken 18 months later in the first case and 5 months later in the second case suggested normality of the periapical tissues. It is essential to use strategies that enable reaching the whole complexity of the root canal system during the canal cleaning, shaping, disinfection, and filling procedures in order to control the infection and achieve a successful endodontic treatment outcome.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2025 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.