С-shape anatomy (by Ilya Mer)

Русская версия

This patient has been referred after RD opened “hot” tooth and was confused by its anatomy. I was told the only distal canal has been identified but pulp chamber all the time filled out by blood come from hidden orifices. Dentist put some iofodorm contenting paste in the pulp chamber and sent the patient to my office.

Preoperative X-ray and remains of iodoform paste in pulp chamber
Bleeding came from untreated orifice
.I made the decision not to finish the treatment at the same appointment but put Ca(OH)2 paste hopping for synergism with NaOCl to clean the RC system properly. By aspiration test at the next visit I found a communication between MB and distal canal and enjoyed to see it at final X-ray
Final X-ray

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