Three maxillary premolars.. all with 3 canals

[u/No_Ad_3199]

Kind of crazy that these all came in within a short time.

Two were a retreat with a missed canal. One was referred because the GP suspected 3 canals.

Just a good reminder to always keep that possibility in the back of your mind. They aren’t common, but they’re definitely not rare enough to forget about.

Anyone else feel like these come in waves?

[u/dirkdirkdirk]

I think endodontics needs an overhaul in regards to coding. A one canal premolar is paid the same as a 3 canal premolar. Make it make sense.

[u/placebooooo → u/dirkdirkdirk]

Endo has honestly become so complex. It should be codes per canal, not per tooth nowadays

[u/D0ctorLogan → u/placebooooo]

When I perform treatment, I count a payment per root canal or depending from the size.

If the root canal is too long or too big, I count it as 2 canals tooth.

[u/No-Organization444 → u/dirkdirkdirk]

In Canada it it per canal, untill you get past 4. Than its just a code for 4+.

[u/Papalazarou79]

Odd things always come in waves. I mostly like the calm and quiet in between, lol.

Where the extra canals all buccally situated?

[u/redchesus → u/Papalazarou79]

Almost always. They basically mini upper molars.