Search results

Maxillary second molars are often challenging to treat due to their limited accessibility and frequent variations in root canal anatomy. Early identification of additional canals is crucial for complete disinfection […]

Radix entomolaris is an anomaly characterized by an extra third root located distolingually in lower molar tooth. It brings significant challenges in endodontic treatment due to its complex curvature and potential for missed canals.

S-shaped root canals can be one of the most challenging anatomies in endodontics. In this case, a careful treatment approach allowed us to manage a severe multiplanar curvature while preserving […]

Dens invaginatus is a developmental anomaly characterized by invagination of the enamel organ into the dental papilla before calcification, resulting in highly variable internal anatomy. The complexity of the root […]

Three-rooted maxillary premolars represent an uncommon but clinically important anatomical variation. The maxillary first premolar most frequently presents with two roots, while the occurrence of three separate roots is considerably […]

According to Vertucci, mandibular premolars have one single canal in approximately 74% of the cases. On occasion, mandibular premolars have two canals, in around 25.5%, but higher numbers are very […]

Impossible cases might be possible and worth your time.

But you should always approach cases like these with the right protocols to avoid making iatrogenic errors.

Dilacerated roots are one of the hardest anatomies any clinician can ever face.

Maxillary premolar cases highlight how anatomy and technical factors can turn expected root canal treatment into a clinical challenge.

The maxillary second premolars are generally known to have a single root and one or two canals, with the most common canal configuration being one canal (Type I) or two canals merging into one (Type II or III).
However, a rare and noteworthy anatomical variation exists: the presence of three roots.
While this variation is more frequently seen in maxillary first premolars, three-rooted second premolars are uncommon and present unique clinical challenges. This article explores the prevalence, clinical implications, and endodontic management considerations for three-rooted upper second maxillary premolars.

Gemination in lower premolars is a very rare condition. This aspect makes it difficult to treat and it should be approached by an endodontist using a microscope to ensure proper debridement, disinfection and obturation.

How a good analysis and a efficient protocol can turn and complex case into success.

This article showing the retreatment of molarized premolare upper 5.