Endodontic Management Of Bilaterally Occurring Three-rooted Mandibular First Premolars: A Case Report

It is important to accurately diagnose the morphology of the entire root canal system for successful completion of the endodontic treatment. Text book description of mandibular first premolar is typically of a single rooted tooth. The incidence of these teeth having two roots is quite high. Three and four rooted mandibular first premolars have also been reported but are extremely rare. Diagnostic aids such as preoperative radiograph followed by careful inspection of the pulp chamber floor aid in the location of root canal orifices. This case report describes successful non surgical management of bilaterally occurring mandibular first premolars with three separate roots and three root canals.