Navigating Aberrant Root Canal Anatomy: A Case Series on Complex Variations

AbstractAn in-depth understanding of root canal anatomy and its variations is essential for achieving endodontic success. This case series highlights the endodontic management of teeth exhibiting complex anatomical variations: a mandibular molar with confluent middle mesial canal, a mandibular molar with radix entomolaris and a mandibular premolar showing Vertucci Type V configuration. The cases were diagnosed and managed using enhanced visualization through a dental operating microscope. Thorough exploration of the pulp chamber floor, ultrasonic troughing and meticulous cleaning and shaping techniques enabled successful location, negotiation and obturation of these aberrant canals. Postoperative follow ups showed favorable outcomes in all cases. This series underscores the importance of clinical vigilance, appropriate use of technology and anatomical knowledge in managing a typical canal configurations to ensure long-term treatment success.Keywords: Anatomical Variaton, Middle Mesial Canal, Radix Entomolaris, Vertucci Type V, Gulabivala Type I, Sert and Bayirli Type XVIII