Endodontic Treatment of Four Mandibular Incisors with Two Root Canals and Separate Foramina : A Case Report

Abstract

Introduction: This case report describes the endodontic treatment of four mandibular incisors with two root canals and separate foramina. Case Report: All mandibular incisors showed poor endodontic treatment and apical radiolucency. In three incisors with the exception of the left central incisor, two canals were observed at the first attempt through a careful examination of the periapical radiographs and pulp chamber. An additional successful attempt was made to identify the second root canal of the left central incisor by reference to the location of root canal orifice of the other three incisors. All mandibular incisors had two separate foramina. All lower incisors were asymptomatic after treatment. Conclusion: A careful access cavity under a microscope and periapical radiographs taken from different horizontal angles during treatment helped locate and prepare the second canal.