Figure First molar on the left side of the mandible: A) initial
radiograph, extensive distal caries, PDL widening, S-shaped canals; B)
working length determining; C) final radiograph, obturation, apical
seal, temporary restoration; D) 18-month follow-up, coronal seal
Case \RL
2
A healthy 10-year-old girl with spontaneous pain in the right mandibular
first molars was referred to the endodontics department. The sensitivity
test to heat and cold was negative and only unstimulated. Initial
radiography revealed (Figure 2A), radix entomolaris, and double
curvature with the bull’s eye view. Clinical and radiography
examinations showed signs of irreversible pulpitis. The access cavity
was obtained according to the mesial caries and extra RE root. Each
canal’s shaping, instrumentation, irrigation, and obturation were done
according to the treatment protocol described in the first case (Figures
2). A follow-up visit was performed 8 months later and he reported no
pain in the two treated teeth. Clinical examination and radiography also
showed an asymptomatic tooth with successful endodontic treatment
(Figure 2E ) <Figures 2 >.