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Endodontic Management of a Maxillary Canine with Two Roots: A Case Report

Abstract:
This case report describes the diagnosis and successful management of an upper right maxillary canine with two roots, an uncommon anatomical variation. A mid-40s female patient presented in Air Force Specialized Hospital with acute pulpitis with symptomatic apical periodontitis in the upper right canine, which was confirmed through clinical and radiographic examination. The root canal treatment was planned to address the infection and preserve the tooth. Upon access cavity preparation, two distinct canals were identified, a buccal and a palatal canal, CBCT was done to confirm the unusual anatomy. Both of which were thoroughly cleaned, shaped, and obturated using the warm vertical compaction technique. The patient experienced significant symptom relief post-treatment, with follow-up radiographs showing no change in the bone periapically. This case emphasizes the importance of careful clinical exploration and radiographic evaluation in detecting and treating unusual canal anatomy, ultimately ensuring successful endodontic outcomes.