Pre-Op
Post-Op
Diagnosis
Patient presented to our office with a history of pain to function and cold. Recent crown prep did not resolve her symptoms. Testing revealed #31 as the source of the pain and a diagnosis of symptomatic irreversible pulpitis with symptomatic apical periodontitis was revealed.
Radiographically, highly curved apical segments of both root ends observed. Mesial root actually shows double curvature.
Treatment
In order to properly debride and shape these areas, extra hand filing and slow enlargement of the canals were needed to prevent instrument breakage in these areas. Use of pathfiles and NiTi rotaries were able to clean to full length without complication. Mesial canals were only shaped to a 25/.04 and distal to a 35/.04 apical size.