A 60-year-old female patient presented with persistent pain in a lower first molar. Clinical and radiological examinations revealed a long-standing cavity and severe calcification of the root canals, making cleaning, shaping, and filling highly challenging. Radiographs suggested an unusual root anatomy, with more than the typical two roots. During treatment, it was confirmed that the tooth had three roots and a total of four canals, a rare anatomical variation for a lower first molar.
Using advanced endodontic tools and techniques, all canals were successfully negotiated, thoroughly cleaned, shaped, and beautifully filled. The entire root canal procedure was completed in a single visit lasting approximately two hours. Following the root canal treatment, the tooth was restored with a composite restoration. The patient returned for a post-operative checkup after three days, reporting complete relief from pain and showing good clinical signs of healing.
Patient Education:
This case highlights the importance of regular dental checkups and timely treatment of cavities to prevent complications such as canal calcification. Rare root anatomy can make treatment more challenging, but with advanced expertise and technology, even complex teeth can often be saved. Always discuss all treatment options, risks, and expected outcomes with your dentist to ensure the best care for your dental health.
About the Author:
This case was managed and documented by Dr. Rouf ul Aziz, Passion Dentistry. All images and content belong to me and my clinic—unauthorized use or reproduction is not permitted.
At Passion Dentistry, we are dedicated to providing high-quality, ethical dental care and sharing knowledge for educational purposes only.
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