Endodontic retreatment of a maxillary first premolar with type v vertucci canal configuration: A case report

Introduction: Successful endodontic treatment depends on knowledge of root canal morphology, interpretation of radiograph, biomechanical preparation and obturation of root canal system. The possibility of root/canal variation should be considered, although the maxillary first premolar is commonly a bi-rooted tooth with an uncomplicated endodontic anatomy. This case report described the non-surgical endodontic retreatment on a maxillary first premolar with type V Vertucci canal configuration. ProTaper next instruments were used to remove the old gutta percha and to clean and shape all root canals, followed by the complete obturation with cold lateral condensation technique with gutta percha and accessory cone of root canal system. Case report: A 21-year-old female patient came to specialist clinic of conservative dentistry Universitas Indonesia with the chief complaint of dull pain in upper right middle region of jaw. The patient had her previous endodontic treatment approximately two years ago. The patient also complained on the unpleasant feeling when eating. Intraoral examination revealed a large cavity on her 14 tooth. Intra-oral periapical radiograph confirmed that the tooth had a previous root canal treatment, with incomplete root canal filling and chronic apical abscess. The tooth was diagnosed with a chronic apical abscess caused by inadequate endodontic treatment. Treatment planning was root canal retreatment and dowel crown restoration. The condition was a consequence of the failure of the first treatment, where the palatal canal was undetected and untreated. Conclusion: This case highlight the need to understand, interpret the maxillary first premolar with a Vertucci type V canal configuration to achieve successful results.