Endodontic Management of a Mandibular Bifid Canine (Tooth 4.3)

The presence of two canals or bifid roots is considered rare, with a relatively low prevalence in the population. These anatomical variations can complicate endodontic treatment, so the use of microscope and right tools is essential. The patient presented as an emergency with swelling and discomfort localized around tooth 4.3. Clinical & Radiographic Findings* Severe tenderness to percussion and palpation* Presence of swelling adjacent to tooth 4.3* Preoperative radiograph revealed: !Bifurcation of the mandibular canine !Two separate canals !Apical radiolucency Tooth 4.3 had been opened previously for drainage. Diagnosis: Pulp necrosis & Localized symptomatic apical periodontitis Treatment Plan: Non-surgical endodontic treatment followed by direct restoration The access cavity was refined using an Endo-Z bur and ultrasonic tips to eliminate coronal…