Anatomical foramen x radiographic apex. The importance of the apical locator.

Small doubts from the clinical routine. The locator points 21mm and on the cone probe, also adjusted for this length, it seems well short of the ideal. Odontometry is repeated and the same result is obtained. When obturating, the final radiograph also seems unsatisfactory, but in mesial view we can get a better idea of the apical positioning of the cone. This is why it is important to rely on a good apical locator and to know the anatomy in the region of the foramen. Most of the time it does not coincide with the radiographic vertex.

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Read more about the article Endodontic anatomy. Retreatment of a canine with two canals.
Patient came to the clinic complaining of mild biting pain in the region of teeth 43 and 44. On clinical examination, pain on palpation and percussion test in that region. Radiographic examination showed unsatisfactory endodontic treatment and diffuse periapical radiolucent image on teeth 33 and 34. The periapical diagnosis was then symptomatic apical periodontitis. Desobturation, PDT and Bio C Temp medication placement was performed on both teeth. The patient only returned 3 months later, when it was observed radiographically the repair of the area and then the filling was performed. Case performed by Jonas and Marcela, students of the Specialization in Endodontics of APCD Bragança Paulista.

Endodontic anatomy. Retreatment of a canine with two canals.

Endodontic anatomy of the lower canine. Patient came to the clinic with a complaint of mild pain when biting on the region of the...

ContinuereadingEndodontic anatomy. Retreatment of canine with two canals.