International Journal of Dentistry Research 2025; 10(3): 86-88 DOI:10.31254/dentistry.2025.10302

Case Report

Endodontic Management of Vertucci Type III Root Canal Configuration in Permanent Mandibular Lateral Incisor: A Case Report

Priyadharshini S Babu¹ , Daya Srinivasan² , Pragadesh Ganesan¹ , Dhaarane S.S¹

Priyadharshini S Babu,Daya Srinivasan,Pragadesh Ganesan,Dhaarane S.S

1. Post Graduate Student, Department of Pedodontics & Preventive Dentistry, Chettinad Dental College & Research Institute, Kelambakkam - 603103 Chennai, India
2. Professor and HOD, Department of Pedodontics & Preventive Dentistry, Chettinad Dental College & Research Institute, Kelambakkam - 603103 Chennai, India

*Author to whom correspondence should be addressed.

Received: 21st November, 2025 / Revised: 1st January, 1970 / Accepted: 8th January, 2026 / Published : 17th January, 2026

Abstract

Endodontic treatment of mandibular incisors can be challenging due to variations in root canal morphology. While these teeth are typically present with a single canal, some can exhibit two canals that merge near the apex. This case report describes a 12-year-old boy, with a mandibular right lateral incisor demonstrating a Vertucci Type III canal configuration. The patient presented with the complaint of pain and swelling following trauma, and radiographic evaluation confirmed the presence of bifurcated canals. The tooth underwent thorough chemo-mechanical debridement and was medicated with triple antibiotic paste. After two weeks, it remained asymptomatic and was subsequently obturated using the single cone technique. Follow-up assessments showed no clinical or radiographic abnormalities, confirming treatment success. This case highlights the importance of recognizing and managing root canal variations in mandibular incisors. Precise access cavity preparation and comprehensive radiographic evaluation are essential to prevent missed canals and ensure favourable endodontic outcomes.