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Vertucci’s Type V Cleaning Shaping and Filling

July 10, 2008 By Dr Pierre Pizem Leave a Comment

Atypical canal configurations, Type II, Root Canal Treatment Pre-Therapy 119711-1        Atypical canal configurations, Type II, Root Canal Treatment Per-Therapy 119711-1

Atypical canal configurations, Type II, Root Canal Treatment Post-Therapy 119711-1        Atypical canal configurations, Type II, Root Canal Treatment Post-Therapy 119711-2

An Intricate Root Canal Procedure. Case study number 119711

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.

X ray with ISO files number 08 and 06 in distal single canal of lower left first molar shows an apical split in its last apical third. This is another Vertucci’s class V canal configuration. Each part of the split in distal root has been individually cleaned and shaped. NiTi files allowed us to follow both right-angle curves. Root canals have been obturated with Pulp Canal Sealer and gutta percha. (Lateral and vertical condensation). Last (Angulated) X ray to the right shows the obturated split as well as an anastomosis mesio vestibular and mesio lingual canals. ( a Vertucci’sType II canal configuration)

Filed Under: Atypical canal configurations, Curved canals, Dental operating microscope (D.O.M.) assisted R.C.T., Extreme endo clinical cases, NEW CASES, Type II, Type V Tagged With: apical delta, Canal, Endodontics, Images, root canal apical split, root canal procedure, vertucci type V root canal configuration

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