endomontreal

Endodontic procedure case study number: 378415

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

In this per operative X ray dental film, crossed canals are highlighted with endodontic ISO files within the root canal system. During shaping procedure, only one file at once could pass through the root canal intersection in the body of the root, each root canal branch has been shaped cleaned and filled individually with lateral and vertical condensation. 

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

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.