Journal of Conservative Dentistry
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Year : 2015  |  Volume : 18  |  Issue : 5  |  Page : 419-422

Endodontic management of a mandibular first molar with six root canal systems

Department of Conservative Dentistry and Endodontics, Sri Sai College of Dental Surgery, Hyderabad, Telangana, India

Correspondence Address:
Dr. Dilip Jain
15-1-305, Old Feel Khana, Hyderabad - 500 012, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-0707.164060

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Internal anatomy of pulp is complex. The first mandibular molars typically have two roots, one mesial with two root canals and another distal root, which contains one or two canals. A 20-year-old female patient reported with intermittent pain and incomplete root canal treatment in left lower back region since 1-week. Refined access cavity revealed initially two canals in mesial and two canals in the distal root. With operating microscope and cone beam computerized tomography, two additional canals (L-mesio-buccal and B-mesio-lingual) were identified in mesial root. One-year follow-up showed patient was asymptomatic and complete healing of periapical radiolucency.

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