Lower premolar with two root canals and periapical bone radiolucency
DOI:
https://doi.org/10.36557/2674-8169.2026v8n3p1756-1764Keywords:
Endodontia, Pré-molar inferior, Lesão periapical, Intrumento rotatório.Abstract
A female patient, of mixed race, presented to the dental office complaining of pain upon touch in tooth 44. Periapical radiographic examination revealed the presence of two root canals due to abrupt narrowing in the cervical third, as well as a radiolucent area near the root apex. After anesthesia, the restoration was removed and the coronal opening was performed with a #1013 bur. Subsequently, the root canals were explored with manual files (#8, #10, or #15). After electronic foraminal odontometry, root canal preparation was performed with Solla Files Collors Reciprocating #R25 files, and foraminal patency was achieved with Solla Files Collors 16/02 files to the actual length of the tooth. Obturation of the root canal system was performed using the single cone R#25 technique associated with AH-Plus cement. It is concluded that it is important to alert oral health professionals about the knowledge of the root anatomy of lower premolars to ensure their success in endodontic treatment.
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References
ALFAWAZ H, et al. Evaluation of root canal morphology of mandibular premolars in a Saudi population using cone beam computed tomography: a retrospective study. TSDJ, v.31, n. 1, p.137-142, 2019.
ANDRADE F.B.et al. Evaluation of root canal morphology of maxillary premolars: A cone-beam computed tomography study. Braz Oral Res, v.34, p.14, 2020.
BALTHAZARD, R. et al Methodological approach to the endodontic treatment of first premolars with three root canals: two case reports, The Journal of Contemporary Dental Practice. V. 20, n. 2, p. 263–269, 2019.
GONÇALVES, F.N.R. et al. Tratamento endodôntico de pré-molar inferior com dois condutos e abertura coronária de bastien: Um relato de caso clínico. Revista CPAQV – Centro de Pesquisas Avançadas em Qualidade de Vida v. 16, n. 1, p. 8, 2024.
HOEHN MM, PINK FE. Contemporary endodontic retreatments: an analysis based on clinical treatment findings. J Endod. v.28, n.36, p.834, 2002.
LEONARDI D.P. et al. Estudo da anatomia interna dos dentes pré-molares inferiores utilizando a tomografia computadorizada de feixe cônico. Braz Oral Res, v.25, n.3, p.89-94, 2011.
MARQUES COLOMBO, B., PRESCINOTTI, R. Tratamento endodôntico em pré-molar inferior com dois condutos e bifurcação no terço apical – caso clínico. Rev Odontol UNESP. 2020; 49(N Especial):11
SIBAL A, IKHAR A, SINGI SR, WANJARI MB. The Hidden Anatomy of a Lower Premolar With Two Canals. Cureus. v.14, n.7, p.27393, 2022.
SOUZA, T.C. et al. Tratamento endodôntico de pré-molares inferiores: revisão de literatura. RFO UPF, v. 28, n. 1, 2023.
VERAS T. M. M. et al. Tratamento endodôntico em pré-molares com complexidade anatômica: Relato de dois casos clínicos. Braz. J. Surg. Clin. Res. v.30 n.1,p.16-21, 2020.
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Copyright (c) 2026 Rosana Maria Coelho Travassos, Samuel Nogueira Lima, Gabriele Farias Da Silva, Mônica Maria de Albuquerque Pontes, Josué Alves, Carlos Fernando Rodrigues Guaraná , Eliana Santos Lyra Paz, Vanessa Lessa Cavalcanti Araújo, Alexandre Batista Lopes Nascimento, Hilcia Mezzalira Teixeira, Verônica Maria de Sá Rodrigues, Pedro Guimarães Sampaio Trajano Dos Santos, Patricia Antas Veríssimo Melo Farias, Priscila Prosini

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