PMC2848812_01
Preoperative radiograph
JCD-12-37-g001.jpg
PMC2848812_01_JCD-12-37-g001.jpg
F0001
Radiographic evaluation of the involved tooth indicated a normal canal configuration of two canals in the mesial root and one canal in the distal root [Figure 1].
Floor of the pulp chamber showing three mesial and two distal canal orifices
JCD-12-37-g002.jpg
PMC2848812_01_JCD-12-37-g002.jpg
F0002
Clinical examination revealed five distinct orifices [Figure 2]: three located mesially (mesiobuccal, middle mesial and mesiolingual) and two distally (distobuccal and distolingual).
Working length radiograph taken with tube shift (distal shift) technique
JCD-12-37-g003.jpg
PMC2848812_01_JCD-12-37-g003.jpg
F0003
Multiple, working-length radiographs taken at different angulations with one file placed in each of the three mesial and two distal orifices revealed the presence of five distinct canals [Figure 3].
Postoperative obturation radiograph
JCD-12-37-g004.jpg
PMC2848812_01_JCD-12-37-g004.jpg
F0004
The root canals were dried with paper points (Maillefer, Dentsply, Ballaigues, Switzerland) and obturated with cold, laterally condensed gutta-percha (Maillefer, Dentsply, Ballaigues, Switzerland) and zinc oxide eugenol sealer (Dental products of India Ltd) [Figure 4].