Intricate Endodontic Procedure. Case Study Number 417
A Vertucci type V pulp space configuration can be described as follow: One canal leaves the pulp chamber and divides short of the apex into two separate distinct canals with distinct foramina (1-2). According to Vertucci’s study in 1984 on a 100 mandibular molars sample, the type V configuration in distal root, occured only in 8% of the teeth examined. In the apical third of distal root, each part of the split as been individually cleaned, shaped and filled with Gutta Percha and Pulp Canal Sealer.
This is a very long tooth, it’s position in the arch (second molar), it’s sharp curve and it’s apical third split in distal root canal, are all factors wich are listed in the high difficulty category of the American Association of Endodontists (A.A.E.) Endodontic Case assessment Form. Thus, this specific case, according to the American Association of Endodontists, present exceptionally complicated preoperative condition, exhibiting several factors listed in the HIGH DIFFICULTY category.