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Endodontic Therapy on Maxillary Second Premolar With One Canal Dividing in Apical Third. The Infamous Apical Delta

October 28, 2011 By Dr Pierre Pizem Leave a Comment

Atypical Canal Configurations, Type V, Root Canal Treatment Pre-Therapy 362515-1  Atypical Canal Configurations, Type V, Root Canal Treatment Post-Therapy 362515-1

 

 

 

 

 

Endodontist. Case Study of Root Canal Procedure Number 362515

Pecora al. in 1993 reported second maxillary premolars (among 435 studied) to have one root in 90,7%. The typical maxillary second premolar may be considered having only one root with a single canal among the Caucasians (Pitt Ford, 1997). According to Vertucci’s study in 1984 on 200 maxillary second premolars, in 75% of the cases, a second maxillary premolar will present with only a single canal at the apex. The type V configuration occured only in 6% of the teeth examined by Vertucci and 9% of the teeth examined by Sert (2004)

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 two distinct foramina (1-2).

Preoperative radiological findings that might help us in suspecting such a pulp space configuration: root canal abruptly becomes invisible short of the apex.

Only one file at a time could pass through the narrower root canal part in apical third, each root canal branch has been shaped cleaned and filled individually with lateral and vertical condensation. Root canal system is having canal curvature with an s form.

Armamentarium: OPMI PROergo dental operative microscope from Carl Zeiss, Rubber dam and rubber dam clamp and frame, Stainless steel K endodontic files, gutta percha and Pulp Canal Sealer, finger plugger.

Filed Under: Atypical canal configurations, Extreme endo clinical cases, General, NEW CASES, Type V, Popular Cases Tagged With: apical delta, canal curvature with an s form, Dental operative microscope, endodontic files, endodontic procedure, Endodontics, finger plugger, Gutta percha, Opmi Proergo microscope, pulp canal sealer, root canal procedure, Root canal system calcifications, Root canal treatment, rubber dam, rubber dam clamp

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