Page 15 - The Beauty and Sorrow in Endodontics-Prologue
P. 15
A female patient in her 30s presented with a pre-op radiograph showing widened
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PDL at the root apex of tooth 15 that is deviated to the distal (as opposed to being at the
centre of the apex) (Fig 4A). After proper root canal treatment, the obturation radiograph
revealed a sealed accessory canal at the root location adjacent to the area of widened PDL
(Fig 4B). The six-months follow-up radiograph was taken at a different angle and shows
the accessory canals branching out from the main canal at the apical third of the root (Fig
4C). In addition, the enlarged image of the apical portion revealed multiple radio-opaque
sealer puffs at the exits of those accessory canals (Fig 4D). During warm vertical
obturation, the sealers will fill the canals first, and as the warmed gutta percha is
compacted into these spaces, the sealers will be extruded outside the canals. Therefore, a
densely obturated canal system will often have accompanying sealer puffs at all canal
exits.
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