The Six In Six: Management Of A Mandibular First Molar With 4 Distal And 2 Mesial Canals

Abstract

Locating all the root canals, cleaning and shaping them and then sealing them completely with a root canal filling material is very important for the root canal therapy to be successful. Missed canals lead to failure of the root canal treatment rendering the patient in pain. A dentist should be well-versed with the variations in the root canal system. The given case report presents a case of lower first molar with six canals, 4 distal and 2 mesial. All the canals were located using the champagne bubble test and the bleeding points were identified and the area was scouted to locate the canals. The clinician should evaluate all the cases clinically as well as radiographically for the presence of anomalies. Usually, the clinicians try to locate only the predominant canals and do not scout the chamber for any abnormal variations. This failure to locate a canal will lead to remnants of pulp in the tooth which is the major reason for re-infection and failure of the treatment. Also, in some cases it can be a reason for persistent pain for the patient. So, it’s important to locate all the canals and clean them for a successful root canal treatment.