Endodontic management of a mandibular second molar with C-shaped canals

The aim of this case report is to explain the etiology and management of C-shaped canals. An important anatomic variant in root canal morphology, the C configuration, presents as a thin fin connecting the canals with a predilection for mandibular second molars. Early recognition of the C-shape becomes imperative for its successful management. Newer diagnostic tools have facilitated a more precise diagnosis of this condition. Clinical and radiographic diagnoses can aid in the identification and negotiation of the fan-shaped areas. The inaccessible areas and unique canal patterns make provision of optimum treatment quality a highly challenging proposition. Successful endodontic therapy of this canal configuration can be achieved with rotary and hand instrumentation assisted with ultrasonics.