A 31-year-old female patient presented to our clinic with a chief complaint of pain in the lower right jaw. Tooth #30 was diagnosed with pulp necrosis/symptomatic apical periodontitis.
By the end of canal instrumentation, four canals had been located: two in the mesial and two in the distal roots. Following the GentleWave® Procedure, two tiny orifices became noticeable between MB and ML canals; they turned out to be two mid-mesial canals. Pre-op CBCT had not hinted at the presence of mid-mesial canals.
The immediate post-op radiograph shows the filling of six canals with gutta-percha and BC Sealer™. The two mid-mesial canals join each other at the apical half, and all four canals in the mesial root join at the apical 3 mm level.
“Without the cleaning ability of the GentleWave Procedure, I would have missed the additional two middle canals, which could have resulted in a persistent infection.”