Mandibular bicuspid with two canals.

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 […]

Mandibular molar with separated instrument.

Diagnosis Patient presented with previously initiated endodontic treatment. The preoperative radiograph disclosed that there was a separated instrument in the apical third of the mesial root. No other clinical signs or symptoms were present.   Treatment Three canals were located and it was confirmed that a separated instrument was present in the mesiolingual canal. It was […]

Mandibular molar with dilacerated root and additional portal of exit.

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 […]

Mandibular molar with canal anastomosis.

Diagnosis Patient presented with a non-vital pulp and symptomatic apical periodontitis. The preoperative radiograph displayed a widened periodontal ligament space associated with the mesial root apex. Treatment Four canals were located and instrumented followed by the Sonendo GentleWave® procedure to augment cleaning and disinfection. The postoperative radiograph confirms the filling of the four canals plus […]

Mandibular molar with canal anastomosis and multiple portals of exit.

Diagnosis Patient presented with a non-vital pulp and symptomatic apical periodontitis. The preoperative radiograph did not display any atypical findings.   Treatment Three canals were located and instrumented followed by the Sonendo GentleWave® procedure to augment cleaning and disinfection. The post- operative radiograph displays an anastomosis between the mesial canals in the apical third of […]

Mandibular bicuspid with aberrant anatomy.

Diagnosis 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.   Treatment Three canals were located and instrumented followed by the Sonendo GentleWave® procedure to […]

Mandibular molar with “C” shaped canal.

Diagnosis Patient presented with a non-vital pulp and asymptomatic apical periodontitis. The CBCT axial view confirms the presence of a “C” shaped root anatomy with three separate canals connected by ribbons of pulpal tissue.   Treatment Three main canals were located and instrumented. This was followed by the Sonendo GentleWave® procedure to augment cleaning and […]