The root canal treatment in maxillary and mandibular molars with five root canals: Two case reports with two years follow up

ABSTRACT Introduction: One of the most important steps in successful root canal treatment process is to understand the morphology of the root canal. Therefore, the clinicians should consider and release the anatomic variations in diagnosis and treatment of the mandibular and maxillary molars. Case Series: The aim of this case series is to present the successful root canal treatments completed in lower right first molar and in upper left first molar. In the first case; in right lower first molar five root canals were found, one root canal was in the mesibuccal root, one root canal was in the mesiolingual root and three root canals were in the distal root. This root canal treatment was completed in one session. In the second case, five root canals were found, two of them were in the mesibuccal root, in upper left first molar, two of them were in the distobuccal root and the fifth was in the palatinal root. The root canal treatment process was completed in three sessions. The clinical follow up performed after two years revealed that no symptoms were observed in both cases and the teeth were radiographically healthy. Conclusion: Successful endodontic treatment starts with proper clinical and radiographic examinations. It is important for clinicians to be aware of all possible anatomic variations for a good endodontic practice.