Endodontic mystery of challenging mandibular 2nd premolar

105 Rating(s).


Posted on By Sohaib Elashry In Endodontics

A 21y male patient came to the clinic complaining from sever pain related to lower left quadrant , upon clinical examination tooth no. #35 in asymptomatic irreversible pulpits stage.

RCT were done after many times and many visits full of struggling, faults , persisting and patience.

Full working time around 9 hours.

Irrigation:
5.25% Sodium hypochlorite
17% EDTA
Manual irrigation agitation

Obturation:
Cold lateral compaction with resin based sealer

Details with each picture , all comments are welcomed and appreciated

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2 Comments

I often wonder if these atypical cases are possible to treat with standard endodontic therapies?


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Dear Dr Maurice nowadays you can traet all types of strange anatomical root canal systems beside your daily norma endodontic cases but all you need is good source of magnification " i have loupes " and patience , off course the good instrument .
Best regards, Sohaib


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Salvin