endomontreal

Endodontic procedure case study number: 378415

Crossed canals are highlighted with instrument within the system in per operative X ray dental film.

A Vertucci type VI pulp space configuration can be described as follow: Two canals leaves the pulp chamber, than intersect short of the apex into two separate distinct canals with two distinct foramina (2-1-2).

Preoperative radiological findings that might help us in suspecting such a pulp space configuration: root canal abruptly becomes invisible short of the apex. 

Only one file at a time could pass through the narrower root canal part in apical third, each root canal branch has been shaped cleaned and filled individually with lateral and vertical condensation. 

Armamentarium: OPMI PROergo dental operative microscope from Carl Zeiss, Rubber dam and rubber dam clamp and frame, Stainless steel K endodontic files, gutta percha and Pulp Canal Sealer, finger plugger.

En la radiografia pre operatoria podemos observar un tercer molar superior(maxilar),con acceso dificil debido a la posicion para colocar las limas, pero la sorpresa  que nos encontramos despues de la instrumentacion es que los conductos se cruzan entre si haciendo este un caso particular a tratar.

Crossed canals in mesial root on lower left second molar. Tooth then restored with a gold inlay. Distal is subjected to minimal occlusal force.