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Endodontic Treatment of a Double-Rooted Maxillary Second Molar with Four Canals: A Case Report

Hengameh Ashraf, Omid Dianat, Reihaneh Hajrezai, Payam Paymanpour, Sina Azadnia




A healthy female was referred to Endodontic Department. The referral letter from her dentist expressed that an emergency pulpotomy of tooth #27 had been carried out with probable perforation of the chamber floor which was due to the unusual anatomy of the chamber. Cone-beam computed tomography (CBCT) revealed that the tooth had two mesial and two distal canals. Perforation site was repaired and endodontic treatment was completed. At 24-month follow-up, patient was asymptomatic and clinical and radiographic examinations showed successful outcomes.


Cone-Beam Computed Tomography; CBCT; Maxillary Second Molar; Root Canal Therapy; Tooth Root

DOI: https://doi.org/10.22037/iej.v9i4.6404


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