Diagnosis Patient presented with a non-vital pulp and symptomatic apical periodontitis. The preoperative radiograph displays an atypical root and canal configuration. The CBCT sagittal view shows that the mesiolingal and distal canals join and the mesiobuccal canal exits the root short of the root apex. Treatment After access opening, three canals were located and […]
Diagnosis Patient presented with symptomatic irreversible pulpitis and symptomatic apical periodontitis. The preoperative radiograph displays internal anatomy with a single canal that divides into three canals in the coronal third of the root. Treatment After access opening, three canals were located and instrumented. The postoperative radiograph confirms the filling of three canals with multiple […]
Diagnosis Fourteen-year-old patient presented with a non-vital pulp and symptomatic apical periodontitis. The preoperative radiograph displayed a periapical radiolucency associated with an incompletely formed root and dens in dente. Treatment Access to the middle and apical portion of the root was obtained by making an opening through the dens in dente. The canal space […]
Diagnosis Patient presented with a non-vital pulp and chronic apical periodontitis. The pre-operative radiograph showed a radiolucent area surrounding the apical third of the root and advanced horizontal bone loss on the distal. The mesial root displayed a double curvature and there was a sharp dilaceration of the distal root with the canal exiting on […]
Diagnosis Patient’s general dentist initiated treatment; but, was unable to negotiate canal beyond the coronal aspect. Clinical testing confirmed the presence of previously initiated treatment and symptomatic apical periodontitis. The CBCT frontal view showed evidence of two canals in the apical third. Treatment The lingual canal was located and instrumented. The buccal canal was […]
Diagnosis Patient presented with a non-vital pulp and chronic suppurative apical periodontitis. The preoperative radiographs showed aberrant anatomy that suggestive of a dens evaginatus. A gutta percha cone in the sinus tract traced to the distal aspect of the root and possible second canal. The CBCT axial view confirmed the presence of an additional root […]