Endodontic Management of an Uncommon Three-rooted Maxillary First Premolar: A Clinical Case Report

Dibya Kumari; Minakshi Bhattacharjee

doi:10.5005/jihr-11055-0010

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Endodontic Management of an Uncommon Three-rooted Maxillary First Premolar: A Clinical Case Report

Dibya Kumari, Minakshi Bhattacharjee

Keywords : Case report, Endodontic case study, Maxillary first premolar anatomy, Rare dental morphology, Root canal therapy, Three-rooted premolar

Citation Information : Kumari D, Bhattacharjee M. Endodontic Management of an Uncommon Three-rooted Maxillary First Premolar: A Clinical Case Report. 2025; 2 (1):33-34.

DOI: 10.5005/jihr-11055-0010

License: CC BY-NC 4.0

Published Online: 25-11-2025

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Abstract

Variations in root canal morphology can create challenges in endodontic practice. Among these, the appearance of three distinct roots in a maxillary first premolar is highly unusual, occurring in only a small fraction of the population (0.5–6%). This report documents the clinical journey of a 28-year-old male patient diagnosed with this rare anatomy. By combining detailed preoperative imaging with careful step-by-step treatment execution, the case was managed successfully, resulting in the thorough cleaning, shaping, and sealing of all root canals.

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