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Re-treatment of a Mandibular First Molar with Five canals-case Report

並列摘要


This case demonstrates a 5-canal mandibular first molar involving a middle mesial canal treated by non-surgical root canal therapy. Acute exacerbation was noted on a previously root-filled left mandibular first molar with periapical lesions, and endodontic re-treatment was arranged. Initially, 4 canals (the mesiobuccal, mesiolingual, distobuccal, and distolingual) were identified. The mesiobuccal and mesiolingual canals were found in their normal locations, and a fifth canal was noted between these two. Clinicians need to be aware of the unusual root canal anatomy of the mandibular first molar. After thorough root canal cleaning and shaping, root canal obturation with gutta-percha and Roth 801 sealer by a lateral compaction technique was performed. A 12-month recall radiograph showed complete healing.

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