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Abstract

Endodontic treatment is reported to have a high success rate, but the missed canal is reported in 42% as the cause of retreatment. Root canal morphology varies and is complex due to the splitting and union of canals. Wide variations in internal morphology of maxillary premolar have been studied; Vertucci even classified root canal systems into eight types of configurations. Ahmed et al. also classified root canal configuration in a new classification method. Studies of root canal morphology of maxillary premolar in Asian populations show that about 2-5 % of them are having (1-2) canal configuration, and 9-26 % are having (2-1) canal configuration. This article reports and discusses the endodontic management of maxillary premolars with different canal configurations. Endodontic success in teeth with additional canals requires meticulous clinical and radiographic examination. Angled radiographic view, magnification and also tactile examination with a small, pre-curved K-file tip are also recommended, to indicate the additional canal. A thorough understanding of common anatomy and appreciation of the possible variations in morphology are essential to gain success in root canal treatment. After successfully identifying canal configuration, cleaning and shaping can be done. Obturation is also a challenging part of the cases; some modification is needed to gain three-dimensional obturation to prevent reinfection.

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How to Cite
Sarah Devina, Wandania Farahanny, & Nevi Yanti. (2022). Endodontic Management of Maxillary Premolar with Different Variations of Canal Configuration. Journal of Evolution of Medical and Dental Sciences, 11(6), 655–660. https://doi.org/10.14260/jemds.v11i6.134
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