Patient’s general dentist initiated endodontic treatment; but, was unable to locate any canals. Clinical testing confirmed the presence of a non-vital pulp and symptomatic apical periodontitis. The CBCT axial view displays three separate roots present in the apical third.
Three canals were located and instrumented followed by the Sonendo GentleWave® procedure to augment cleaning and disinfection. The postoperative radiograph confirms the filling of three canals plus a lateral canal exiting on the distal aspect of the mesiobuccal root.