Three Canal Mandibular First and Second Premolars: A Treatment Approach. A Case Report

Mandibular premolars have earned the reputation for having aberrant anatomy. The occurrence of three ca-nals with three separate (type V, Vertucci) foramina in mandibular premolars is very rare. If one is to treat mandibular premolar teeth with three canals predict-ably, it is necessary to be aware of their clinical and radiographic anatomy. These teeth may also require special shaping and obturating techniques. This article reports and discusses the treatment recommendations for an unusual occurrence of three canals with three separate foramina in both the first and second man-dibular premolars in the same patient. Key Words Three canal mandibular first and second premolars, three foramena, treatment approac