SPECIAL CONSIDERATIONS FOR ANOMALOUS ROOT CANAL SYSTEM ANATOMY
Patient: 79 year-old male with glaucoma
Chief Complaint: Biting, Chewing Sensitivity on the lower back right jaw area
Dental History: The patient presented with no recent restorations and biting sensitivity localized to the mandibular right first molar (tooth #30) which had a full gold crown placed many years earlier
Significant Findings (tooth #30): The tooth measured a positive response to cold thermal stimulation, severe chewing sensitivity, and moderate percussion sensitivity. The periodontal and all other clinical findings were within normal limits. The radiograph demonstrated a radiopacity at the mesial and distal distal areas of the crown approximating the mesial and distal pulp horns.
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