15. coronal middle third of
root apical third of the root
apical third of the root
thicker than cervical third.
16. ACCESSORY CANAL FORMATION
inefficient source of collateral
circulation
• Defect in the epithelial root sheath
• Failure in the induction of dentinogenesis
• The presence of small blood vessels
more prevalent apical third
produce a gap -
accessory canal
17.
18. ROOT LENGTH AND APICAL CLOSURE
dates of tooth eruption completion of
the root length apical closure
45. Accessory canals occur in three distinct patterns in the mandibular first molars.
A, In 13% a single furcation canal extends from the pulp chamber to the intraradicular region.
B, In 23% a lateral canal extends from the coronal third of a major root canal to the furcation region (80%
extend from the distal root canal).
C, About 10% have both lateral and furcation canals.
66. Treatment of open apex with no vital pulp
Treatment of open apex with vital pulp
Pulpotomy is indicated to allow
completion of apical closure as long as
pulp remains vital – apexogenesis
74. Mandibular first premolar with three separate roots trifurcating at midroot.
B, Radiograph of three views.
Small canals diverging from the main canal create a configuration that is very difficult to prepare and obturate
biomechanically
75. Root section of a premolar showing a ribbon-shaped canal system
Diagrammatic representation of Kartal andYanikoglu’s canal configurations
76.
77.
78. Mesial view of a mandibular premolar with a
Vertucci typeV canal configuration.
The lingual canal separates from the main canal
at nearly a right angle.
B,This anatomy requires widening of access in
a lingual direction to achieve straight-line
access to the lingual canal.
81. • Circular shape
• Flat shaped
• Circular & flat
• Flat ribbon shape
Concluded that maxillary first molar shows a very complicated canal
shape at the apical limit which makes cleaning & shaping followed by
obturation difficult, particularly in MB1 & distobuccal canals.
84. Controlled & directed canal preparation
into the bulky portions / safety zones,
away from the thinner portions of the
curved canals – which risk of stripping or
perforation – danger zone.
87. Leakage through dentinal tubules originating at the beveled root surface.
A, Reverse filling does not extend coronally to the height of the bevel. Arrows indicate
a possible pathway for fluid penetration.
B, Reverse filling extends coronally to the height of the bevel, blocking fluid
penetration (arrows) into the root canal space.
93. Schematic representation of isthmus classifications described by Kim et al.
Type I is an incomplete isthmus - faint communication between two canals.
Type II is characterized by two canals with a definite connection between them (complete isthmus).
Type III is a very short, complete isthmus between two canals.
Type IV is a complete or incomplete isthmus between three or more canals.
TypeV is marked by two or three canal openings without visible connections.