The 4th canal in the second maxillary molar

One of the most important things in Endodontics is planification, for that, we need to have an excellent knowledge of the pulp chamber anatomy as well as the different variants in configurations of the root canal system anatomy. Nowadays, and according to the American Association of Endodontists, the use of the CBCT is a standard in our field. This tool, allow us to see the tooth in a 3D model, and check the anatomy from every angle.

On the next case, I completed a root canal treatment in a second maxillary molar, almost the last tooth! the complexity of the case was the minimal mouth aperture of the patient and the tricky root canal anatomy with this 4 canals. Planning the cases before, allow me to do the treatments in a shorter and safer way.

Dr. Pablo Salmeron.

At Dr. Roze & Associates.

Re root canal treatment upper second molar

This is a re-treatment of an upper second molar #27 through an Emax crown . These kinds of treatments are difficult. However, sometimes they can be easy, and other times they can be impossible. The re-treatment of the tooth depends a lot on the work carried out by the previous dentist therefore, I endeavour to be honest with my patients, as sometimes I am not able to fix everything.

In the following case I had to re-treat a tooth filled with Thermafil. Although Thermafil is a great system and works very well in the hands of some endodontist, it doesn’t work for me. I feel that I can’t control the obturation in 3D and the plastic carrier can be easily exposed without guttapercha around.

For that reason, I feel much more comfortable and secure using vertical condensation with System B, it requires maybe more training under the microscope but is worth it and works really well for me.

27reendo

– Tooth #27

– Microscope

– K-Files #10 #15 #20

– Wave One Gold

– Bioceramics + System B

Dr. Pablo Salmeron.

Never give up, because when you think it’s all over, is the moment where everything starts.” — Jim Morrison.

At Dr. Roze & Associates. Dubai. Abu Dhabi. UAE.