Page 16 - The Beauty and Sorrow in Endodontics-Prologue
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Case 5
Lateral canals can occur in the middle of the root as well
(Fig 5A) (Fig 5B)
Pre-op radiograph reveals Post-obturation radiograph shows
radiolucency at both the apex sealed lateral canals corresponding to
and distal mid-root of tooth 24. the apical and mid-root radiolucent
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lesion.
It can be seen from previous cases that most lateral canals exist at the apical third
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of the root, however, here, the pre-operative radiograph of tooth 24 revealed not only a
complex root canal system at the apical portion, but also a radiolucent lesion distal
mid-root (Fig 5A). In these cases, the dentist will need to give extra consideration not
only to the apical portion, but also this lateral canal that possibly exists at distal mid-root
(Fig 5B). Patients should be informed of the possible complex lateral canal system, and
special attention should be made to disinfect the entire canal system by utilizing
ultrasonic irrigation.
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