Page 13 - The Beauty and Sorrow in Endodontics-Chapter 1
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(Fig 12D)
Enlarged image of the apex shows that dense
apical seal has been achieved.
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A 70-year-old male presented to the office requesting a root canal on 33, the
only tooth remaining in the lower arch, for reconstruction purposes. The crown of the
tooth will be removed after root canal treatment and a removable denture with
magnetic retention inserted. Examination of the pre-operative radiograph shows that
the main canal becomes unclear at the apical portion of the root (Fig 12A), it is
suspected that either a curvature or branching of the canal exists here. With that in
mind, extra care was given during cleaning and shaping of the canal. In the post-
operative radiographs (Fig 12B, 12C, 12D), white-in-white dots can be seen; these
represent the exits of various accessory canals. Many canals are overlapped with the
main canal in this radiograph and may appear if the radiograph was taken at a different
angle.
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