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Case Studies | Dentistry | Volume 14 Issue 10, October 2025 | Pages: 53 - 56 | India
Management of Maxillary Central Incisor with Two Canals - A Case Report
Abstract: Aim: To report the successful endodontic management of a maxillary central incisor with two root canals thereby emphasizing the importance of accurate diagnosis and treatment planning. Background: Maxillary central incisors typically have a single canal. However, anatomical variations though rare can occur. The presence of two canals poses a diagnostic challenge and if left unrecognized might lead to treatment failure. Advanced imaging techniques like cone-beam computed tomography (CBCT) aids in detecting such variations thereby ensuring effective root canal therapy. Case Description: A 28-year-old male presented with persistent pain in the maxillary right central incisor. Clinical and radiographic examinations revealed deep caries and an additional canal. CBCT confirmed a single root with two canals (Vertucci Type III). The access cavity was modified to locate both canals which were instrumented using rotary NiTi files and irrigated with 2.5% sodium hypochlorite. Obturation was performed using the warm vertical compaction technique followed by post-endodontic restoration. The patient remained asymptomatic at follow-up. Conclusion: Recognizing root canal variations is crucial for treatment success. Multiple angulated radiographic images enhance anatomical assessment thereby ensuring thorough debridement and obturation. Clinical Significance: Failure to identify additional canals may lead to endodontic failure. Multiple angulated radiographic images guided diagnosis improves treatment outcomes.
Keywords: Maxillary central incisor, Root canal variation, radiovisiography, Endodontic management
How to Cite?: Dr. R. Boobalan, Dr. Shoba K., Dr. Sheena P., Dr. Shibu Amen, "Management of Maxillary Central Incisor with Two Canals - A Case Report", Volume 14 Issue 10, October 2025, International Journal of Science and Research (IJSR), Pages: 53-56, https://www.ijsr.net/getabstract.php?paperid=SR25930223437, DOI: https://dx.doi.org/10.21275/SR25930223437