An intricate root canal procedure on a mandibular first molar distal root canal.
Case Study Number 125546.
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 has been individually filled with Pulp Canal Sealer and gutta percha.
(Lateral and vertical condensation)
In order to do so, some gutta percha had to be removed in coronal, middle and apical third of distal root canal once lingual branch of the split has been filled. This was necessary to regain complete access to the vestibular branch apex.