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Saudi Journal of Oral and Dental Research (SJODR)
Volume-11 | Issue-06 | 213-219
Case Report
Bilateral Continuous C-Shaped Canal Configuration in Mandibular Second Molars: A Case Report
Akanksha Kumari, Ajay Kumar Nagpal, Abhishek Sharma, Muhammad Mutiur Rahman, Arunima Jana, Seemran Panda, Astha Bhargava
Published : June 5, 2026
DOI : https://doi.org/10.36348/sjodr.2026.v11i06.001
Abstract
C-shaped canal configuration is a complex anatomical variation most commonly in mandibular second molars. It is characterized by fused roots and a continuous or semicircular canal system with fins, webs, and interconnections that complicate cleaning, shaping, and obturation. The prevalence of C-shaped canals varies significantly among different populations, with higher incidence reported in Asian groups encountered and frequent bilateral occurrence when present unilaterally. Fan’s classification provides a standardized method to categorize C-shaped canal morphology. Successful management requires modification of conventional endodontic techniques and the use of thermoplastic obturation methods to achieve three-dimensional sealing. This case report describes the nonsurgical management of bilateral continuous C-shaped canals (Fan’s C1 configuration) in mandibular second molars of a 24-year-old male patient using controlled rotary instrumentation up to size 25/.06 followed by single cone obturation technique.
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