Endodontics · single question

Which tooth is LEAST likely to have two canals?

  1. Maxillary first premolar
  2. Mandibular first molar
  3. Maxillary lateral incisor
  4. Mandibular first premolar
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Correct answer: C. Maxillary lateral incisor

The maxillary lateral incisor almost always has a single canal, making it the least likely of these to have two canals.Other options: Maxillary first premolars frequently have two canals; mandibular first premolars can have a second canal; maxillary molars typically have multiple canals including the MB2.Key exam takeaway: Anterior single-rooted incisors usually have one canal; premolars and molars commonly have more.
  • A. Incorrect. Maxillary first premolars have TWO canals as the NORM (~60–80% of cases — very commonly two-rooted).
  • B. Incorrect. Mandibular first molars nearly always have at least 3 canals (2 mesial, 1 distal).
  • C. Correct. The MAXILLARY LATERAL INCISOR is LEAST likely to have two canals — nearly 100% single-rooted, single-canal. One of the simplest endodontic anatomies.
  • D. Incorrect. Mandibular first premolars have two canals in ~25% of cases — more than maxillary lateral incisors.

Note: Take an angled radiograph on mandibular incisors and premolars — the second canal hides directly behind the first.

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