An intricate root canal procedure. Case study number 405
A Vertucci type V pulp space configuration (also called apical delta) 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. An unusual palatal root anatomy makes this apical delta canal configuration difficult to clean shape and obturate.
Sharp curve in disto-vestibular root canal requires extra labor work.