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The New Dentist

Root Canal Treatment: Radix Entomolaris

The cone beam said every canal merged into a single portal of exit. What the obturation actually showed was more interesting than that.

This case involved tooth #30, referred for treatment and evaluation due to severe pain. The patient, seen on an emergency basis, had a full-coverage restoration placed three months ago.

The diagnosis was symptomatic irreversible pulpitis and symptomatic apical periodontitis. A radiographic exam revealed a classic radix entomolaris root formation, with an extra root typically positioned lingually.

These are the results that I love to see.

Even though the cone beam scan information shows that all these canals merged into one portal of exit, we clearly see that they branch into separate poles of exit, but the canals still merge.

This was a very nice, technical root canal treatment with no problems or complications.

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NuEndo Systematic Endodontics offers access to Dr. William Nudera's on-demand and hands-on courses. Arm yourself with the right information, and see what's possible by watching techniques, case studies and procedures routinely performed in Dr. Nudera's endodontic practice, as well as "next steps" for cases that take unexpected turns.

About the Author

Dr. William Nudera

Bloomingdale, Illinois

Dr. William Nudera is a board-certified endodontist whose full-time private practice is limited to endodontics at Specialized Endodontic Solutions in Bloomingdale, Illinois, just outside Chicago. He also holds a faculty position in the Department of Endodontics at the University of Illinois at Chicago College of Dentistry, where he earned his DDS in 1999 and, in 2005, his endodontic specialty certificate and a master's degree in oral sciences.

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