Mandibular molar with dilacerated root and additional portal of exit.
Tooth #18
Pre-Op
Completion
Diagnosis
Patient presented with a non-vital pulp and chronic suppurative apical periodontitis. The pre-operative radiograph showed a radiolucent area surrounding the apical third of the root.
Treatment
Three canals were located and instrumented. The distal root was not negotiable to the radiographic apex with hand or rotary files; so, the Sonendo GentleWave® procedure was used to augment cleaning and disinfection. The postoperative radiograph displays a dilacerated distal root and three portals of exit that were cleaned and filled.