Tooth 34 had two separate canals, which is the case in 25% of cases according to Vertucci. We should never presume the anatomy is simple! They can be clearly seen in the post-operative x-ray. Ultrasonic tips were used to help remove the post in 35 and treatment completed in both teeth over two visits with an intracanal dressing of non-setting calcium hydroxide. Definitive restorations were placed by referring GDP. A great 1 year post-op radiograph. It is great to see the healing power of the body after the infection has been successfully addressed.
Central Incisor with lateral radiolucency
This discoloured central incisor tested positively to pulp testing but a lateral radiolucency indicated a partially necrotic pulp and a lateral canal. As you can see in the obturation radiograph, the lateral canal is partially filled. Correctly performing 3D disinfection and 3D obturation allowed the lesion to fully heal with a great 1 year post-op result.
UR6 RCT with perforation repair
This was a single visit treatment on tooth 16. It was referred from GDP, there had been distal perforation from emergency dentist. When I opened the tooth I found the perforation was in a favourable position to repair (equi-gingival). Treatment went well. It appears that there may be a separate second MB root rather than just canal, which you can see most clearly on the obturation radiograph.