Background: Mandibular
canines are usually single-rooted with a single canal, making them among the
most morphologically stable teeth. The occurrence of a two-rooted mandibular
canine is an extremely rare anatomical variation, reported in less than 5% of
cases in Asian populations. Such variations can complicate diagnosis and
endodontic treatment if not identified early.
Case Presentation: This
report describes the endodontic management of a mandibular canine with two
distinct roots. The patient wanted fixed partial denture so intentional RCT was
planned with respect to lower canine. Clinical examination and initial
periapical radiographs suggested unusual root morphology. Angled radiographs
confirmed the presence of two roots with separate canals. Endodontic treatment
was performed under magnification, with careful biomechanical preparation and
obturation of both canals.
Discussion: The
presence of additional roots or canals in mandibular canines, though rare, has
been documented in literature. Missed roots can compromise endodontic outcomes,
leading to persistent pathology. Advanced diagnostic tools such as CBCT,
coupled with the use of magnification and modern endodontic armamentarium,
significantly improve the ability to detect and manage such variations. This
case reinforces the importance of considering anatomical anomalies during
routine treatment planning.
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