Pradeep Solete, Sneha Pai. Endodontic Management Of Maxillary Premolars With Complex Root Canal Anatomies. Int J Dentistry Oral Sci. 2021;08(05):2597-2600. 2597 OPEN ACCESS https://scidoc.org/IJDOS.php Endodontic Management Of Maxillary Premolars With Complex Root Canal Anatomies Research Article International Journal of Dentistry and Oral Science (IJDOS) ISSN: 2377-8075 *Corresponding Author: Pradeep Solete, Associate Professor, Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University 162, Poonamallee High Road, Chennai 600077, Tamilnadu, India. Tel: +919710404482 Email Id: pradeeps@saveetha.com Received: May 03, 2021 Accepted: May 26, 2021 Published: May 30, 2021 Citation: Pradeep Solete, Sneha Pai. Endodontic Management Of Maxillary Premolars With Complex Root Canal Anatomies. Int J Dentistry Oral Sci. 2021;08(05):2597-2600. doi: http://dx.doi.org/10.19070/2377-8075-21000508 Copyright: Pradeep Solete © 2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribu- tion and reproduction in any medium, provided the original author and source are credited. Introduction The success of root canal therapy depends on effectively man- aging all the existing canals which is possible only by having a thorough knowledge of the root canal anatomy followed by dis- infecting and obturating them [1]. Variations in root canal anato- my are common and can occur as a result of various factors like age, ethnicity, gender and study designs [2-5]. Such variations in anatomy would make the access and visualization diffcult to the root canal system which in turn would result in leaving behind the pulp tissue in root canal spaces, leading to failure of endodontic treatment [6, 7]. Variations in root canal anatomy are commonly identifed with angled radiographs where the shape and the direction of the root is assessed along the evaluation of the root position relative to the tooth [7]. In cases where variations are predicted and when radio- graphs are inconclusive, CBCT imaging is opted where the num- ber of canals along with their sites of bifurcation can be assessed at various sections of the acquired three dimensional data [8]. Maxillary premolars commonly present with Vertucci type I con- fguration of root canals. Many other variations have also been reported in literature [9-11]. Previously our team has a rich ex- perience in working on various research projects across multiple disciplines [12-26] Now the growing trend in this area motivated us to pursue this project. This case report discusses the successful endodontic management in maxillary premolars presenting with complex anatomies. Case Report 1 Maxillary Premolar (14) With An Intercommunicating Channel A 42 year old female patient reported with mobile crown and pain Abstract In addition to debriding and obturating the root canals, knowledge and understanding of the anatomy of the teeth play a vital role in the success of endodontic treatment. Maxillary premolars present with varying root canal anatomies which are infu- enced by factors such as ethnicity, age and gender. When an aberrant anatomy goes unattended, endodontic treatment fails. Therefore, identifying variation in anatomy followed by systematic cleaning and shaping would result in positive treatment outcomes. Variation in root canal anatomy can be identifed with the help of diagnostic aids like angled radiographs, CBCT imaging along with magnifcation that helps in location of additional canals. This article discusses the successful endodontic management of three case reports of maxillary premolars with complex root canal anatomies. Keywords: Maxillary Premolars; CBCT; Periapical Radiography; Aberrant Anatomy; Magnifcation. Pradeep Solete 1* , Sneha Pai 2 1 Associate Professor, Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University 162, Poonamallee High Road, Chennai 600077, Tamilnadu, India. 2 Department of Conservative Dentistry & Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sci- ences, Saveetha University, Chennai, India.