PMC3866843_01
Initial periapical radiography. Radiopacity alteration in the middle third of the pulp chamber of tooth 14, suggesting trifurcation of the root canal.
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From the radiographic examination, an alteration in the radiopacity in the middle third of the pulp chamber of tooth 14 was observed, suggesting trifurcation of the root canal (Figure 1).
Root canal orifices located with operative optical microscope.
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Next, the root canals orifices were located with number 10 K-file (Dentsply/Maillefer, Ballaigues, Switzerland), with the aid of an operative optical microscope (DF Vasconcelos, Valencia, RJ, Brazil) to facilitate visualization (Figure 2).
Odontometry confirming the presence of three root canals.
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During odontometry, the presence of three canals (Figure 3) was confirmed with the aid of an electronic apex locator (Joypex 5, Denjoy, China), two canals in the buccal root and one in the palatal root.
Final radiography after root canals filling.
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Next, final radiography was performed (Figure 4).
Periapical radiography of tooth 14 after 12 months, revealing no presence of failure in filling of root canals or periapical lesions.
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The tooth presented no painful symptomatology, and, radiographically, no signs of failure in root canal filling or periapical lesions were observed (Figure 5).