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One of the most common causes of failure in endodontics is missing canals.
The middle canal in lower molars is not an exception and has been studied by numerous authors in the literature.
Its prevalence ranges from 0,28% to 53,8% and it’s specially presents in the mesial root.
Using different X-ray angulations or with the help of CBCT we can confirm its existence.
Understanding the anatomy of the teeth is a key factor for the success of our treatment.
In this case we are treating a previously treated lower molar with some hidden anatomy.

A thorough knowledge of the root canal anatomy and its variations is required for achieving success in root canal therapy, along with diagnosis, treatment planning and clinical expertise,  One such […]

The presence of 3 rooted premolars called, little molars, is pretty infrequent. Found in only 1-4% of cases with regional variation. The two morphological types involve either two buccal and […]

Deep split, also known as Vertucci type V canal anatomy, is one of the most challenging anatomies in root canal treatment. It presents a situation where one canal leaves the […]

A thorough knowledge of root canal anatomy is essential for predictable and successful outcomes of endodontic therapy. Mandibular premolars are rightly called “endodontist’s enigma” by Slowey, as they are known […]

The presence or absence of periradicular disease is determined according to clinical and radiographic findings. This article will discuss the non surgical endodontic retreatment of a mandibular first molar with […]

Speaking of ANATOMIC VARIATIONS The clinician should be aware of root canal anatomy and morphology, not to mention the protocol of debridement, disinfection and obturation.  Vertucci5 reported the incidence of […]

Straight simple root canals are rare in the human dentition; the majority present with complexities and curvatures in different planes, making the endodontic treatment a complex task that requires adaptation […]

Apical periodontitis serves an essential protective function aimed at confining bacteria discharged from the root canal space and preventing them from spreading into adjacent bone marrow spaces and other remote […]

Endodontic management of a tooth is an interesting and challenging procedure that is partly blinded, and its success depends on individual clinical expertise and skill, as well as the procedural […]

The curved and dilacerated roots in the posterior teeth often present the major challenge to the clinicians during the endodontic treatments. Failure to secure a safe glide path in order […]

Endodontic treatment entails thorough chemo-mechanical debridement and disinfection of the pulp spaces, followed by placement of an inert biocompatible material to allow hermetic sealing of the root canal system. Inability […]