Management of anatomical root structure in lower premolars with Vertucci type V morphology
Description
Mandibular premolars with complex anatomic aberrations have been reported, making endodontic treatment of these teeth extremely difficult. A case of endodontic treatment of a mandibular first premolar presenting bifurcation of the root canal with two independent canals (Vertucci type V root canal configuration) was described. A 58-year-old woman with no significant medical history presented with a primary complaint of pain in a previously endodontically treated tooth. Clinical examination revealed pain on thermal tests. Intraoral periapical radiographs taken at different angulations revealed a root with a bifurcation at the apical third. The canals were prepared and individually filled using the vertical continuous wave obturation technique