Retrospective CBCT Validation of Root Canal System Anatomy - Case Studies

Do not be fooled by a preoperative CBCT

Patient: 89 year-old male with a history of colorectal cancer and radiation treatment (1993), managed hypertension, osteoarthritis with difficulty reclining, and Type 2 Diabetes managed with Melformin

Chief Complaint: Asymptomatic

Dental History: Extraction of the maxillary right third molar (tooth #1) had been recently attempted by a periodontist and a root tip was broken off and left due to extremely difficult access. The patient had limited jaw opening and the soft tissues were obstructive to surgical flap reflection. A periapical radiograph taken by the patient’s general dentist revealed a radiolucency circumscribing the roots of the maxillary right second molar (tooth #2) and he was referred to the author for an endodontic consultation.

Subscribe to View the Case

There are 14 images included with this case summary.

Back to All Cases

Join The Discussion

0 comments

Commenting Guidelines Please make scholarly cited references or expert opinions suitable for publication. The comments can either be "pro" or "con" with references to the treatment philosophy. We encourage objectivity and detailed demonstration of knowledge/literature.

Related Cases

Finding a Severely Calcified Canal Instructional, Complications: Advanced Management, Calcification

Hidden Missed Canal Diagnosis, Access, Cleaning and Shaping, Complications: Advanced Management, Missed Canals, Retreatment Strategies

Master Class Instructional on Managing Calcified Canals Instructional, Clinical Endodontic Technique Instruction, Access, Complications: Advanced Management, Calcification

An Extremely Challenging Root Anomaly: Radix Entomolaris Instructional, Clinical Endodontic Technique Instruction, Diagnosis, Complications: Advanced Management

Complex Anatomy-Fused DB-P and MB-P Roots Instructional, Cleaning and Shaping, Obturation

Clinical Instructional: Endodontic Cleaning and Shaping and Achieving Deep Shape Instructional, Clinical Endodontic Technique Instruction, Access, Cleaning and Shaping, Obturation