Complex Apical Anatomy: Mandibular Molar with a Fused Root

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Terry Pannkuk, DDS, MScD – Instructional, Clinical Endodontic Technique Instruction, Cleaning and Shaping, Complications: Advanced Management

What are the important principles required to treat a molar with a complicated fused root?

Patient: 66-year-old woman with high blood pressure, high cholesterol, and chronic sinusitis

Chief Complaint: The patient reported slight constant pain, heat sensitivity, and slight pain to biting (mandibular first molar bridge abutment, #19).

Dental History: Bridge Abutment (#19) with pin build-up constructed over 20 years ago

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