A mandibular third molar with three mesial roots: a case report

J Endod. 2008 Feb;34(2):224-6. doi: 10.1016/j.joen.2007.11.014. Epub 2007 Dec 26.

Abstract

Although its most common configuration is 2 roots and 3 root canals, mandibular molars might have many different combinations. A case of unusual root canal morphology is presented to demonstrate anatomic variations in mandibular molars. Endodontic therapy was performed in a mandibular third molar with 3 separate mesial roots. The appearance of the pulp chamber floor revealed 4 separate canal orifices. Radiographically the 4 root canals ended in their own distinct foramen. Many reports deal with 3 orifices or 3 independent canals in the mesial root, but none described 3 mesial canals in 3 separate mesial roots, indicating a rare anatomic configuration. This report points out the importance of looking for additional canals and unusual canal morphology, because knowledge of their existence might occasionally enable clinicians to treat a case successfully that otherwise might have ended in failure.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dental Caries / therapy
  • Dental Pulp Cavity / abnormalities*
  • Dental Pulp Necrosis / therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Mandible
  • Molar, Third / pathology*
  • Root Canal Therapy / methods
  • Tooth Root / pathology*