Complex Anatomy in Lower First Molar
Lower Right First Molar (LR6)
Clinical Radiographs
Case Details
Patient
Male, late 30s
Presentation
Lower right first molar with deep decay extending close to the nerve of the tooth. Referred for root canal treatment due to the complexity of the root anatomy seen on initial X-rays.
The Challenge
The root canals showed unusual branching patterns and curvatures that made standard instrumentation approaches difficult. Multiple canal variations were present.
Treatment
CBCT scan was taken to map the canal anatomy in three dimensions before treatment began. Each canal was individually negotiated under microscope guidance using flexible NiTi rotary files to navigate the complex curves safely.
Outcome
All canals located and treated. Post-operative radiograph confirms complete obturation of the complex canal system.
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