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BioMed Research International
Volume 2014, Article ID 512574, 11 pages
http://dx.doi.org/10.1155/2014/512574
Review Article

Endodontic and Clinical Considerations in the Management of Variable Anatomy in Mandibular Premolars: A Literature Review

1Endodontic Speciality Practice, Orlem, Malad, Mumbai 400064, India
2Department of Conservative Dentistry and Endodontics, Mar Baselios Dental College, Kothamangalam, Ernakulam, Kerala 686691, India
3Hammo Endodontic Speciality Clinic, Amman 11110, Jordan

Received 25 February 2014; Accepted 16 April 2014; Published 8 May 2014

Academic Editor: Levent Sarıkcıoğlu

Copyright © 2014 Denzil Albuquerque et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Mandibular premolars are known to have numerous anatomic variations of their roots and root canals, which are a challenge to treat endodontically. The paper reviews literature to detail the various clinically relevant anatomic considerations with detailed techniques and methods to successfully manage these anomalies. An emphasis and detailed description of every step of treatment including preoperative diagnosis, intraoperative identification and management, and surgical endodontic considerations for the successful management of these complex cases have been included.