Endodontic Case Gallery
Browse 21 documented cases showing before and after radiographs. See how advanced endodontic care saves teeth others cannot.
Complex Root Anatomy in Upper First Molar
Upper Right First Molar (UR6)
This upper first molar presented with widely divergent roots, making instrumentation particularly demanding. The pronounced separation between the mesiobuccal, distobuccal, and palatal roots required careful file management to negotiate each canal safely without procedural error.
Ledge Bypass in Upper Molar
Upper First Molar (UR6)
A ledge (a small shelf of dentine created during a previous treatment attempt) was blocking the natural pathway of the canal. Instruments could not pass beyond this point without advanced techniques.
C-Shaped Canal System
Lower Left Second Molar (LL7)
C-shaped canals form a continuous ribbon-like canal system instead of separate round canals. They are unpredictable, difficult to clean, and require specialised filling techniques. Occurs in approximately 8% of lower second molars.
Upper Lateral Incisor with Post & Core
Upper Right Lateral Incisor (UR2)
The tooth had lost significant structure, leaving insufficient dentine to support a crown on its own. Root canal treatment needed to be combined with a post and core to anchor the final restoration.
Apical Root Splits in Lower Molar
Lower Right First Molar (LR6)
The roots of this molar split into multiple branches near their tips (apical ramifications). Standard treatment risks missing these branches, leaving bacteria sealed inside.
Root Canal Near the Inferior Dental Nerve
Lower Right Second Molar (LR7)
The inferior alveolar nerve (the nerve that provides sensation to the lower lip) runs in a canal very close to the root tips of this tooth. Over-instrumentation or irritant extrusion could cause temporary or permanent numbness.
Lower Premolar with Post & Core
Lower Right Second Premolar (LR5)
Combining root canal treatment with post placement requires careful planning - enough filling material must be left at the root tip to maintain a seal, while enough space is created for the post to provide adequate retention.
Complex Anatomy in Lower First Molar
Lower Right First Molar (LR6)
The root canals showed unusual branching patterns and curvatures that made standard instrumentation approaches difficult. Multiple canal variations were present.
Lateral Canal Exit in Lower Molar
Lower Right First Molar (LR6)
The main canal in the distal root did not exit at the tip of the root as expected, but instead turned and exited through the side of the root (lateral exit). Standard apex-directed treatment would miss this exit entirely.
Root Canal Through an Existing Crown
Lower Right First Molar (LR6)
Accessing the root canals required drilling through the existing porcelain crown, which risks fracturing or weakening it. The access cavity must be precisely placed to reach all canals while preserving crown integrity.
Severely Curved Roots in Lower First Molar
Lower Right First Molar (LR6)
Both roots curved sharply in their apical third (the bottom portion). Standard stiff instruments would straighten the curve, potentially creating a false channel or perforating the root wall.
Complex Molar Requiring Multiple Visits
Upper Left First Molar (UL6)
Extensive infection with a large periapical lesion required inter-appointment calcium hydroxide dressing to disinfect the canals over time. The tooth could not be sealed in a single visit due to the ongoing drainage.
Minimally Invasive Root Canal
Lower Right First Molar (LR6)
The goal was to treat the nerve while preserving maximum tooth structure. Traditional endodontic access removes significant healthy dentine, which weakens the tooth long-term.
Separate MB2 Canal in Upper Molar
Upper Left First Molar (UL6)
Upper molars frequently harbour a fourth canal (the MB2, or second mesiobuccal canal). It is present in approximately 60% of upper first molars but is often missed during initial treatment because it is extremely narrow and hidden.
Curved Roots in Upper Second Molar
Upper Left Second Molar (UL7)
Upper second molars often have converging or curved roots that are difficult to instrument. The palatal root curved sharply in this case, requiring careful file selection to avoid procedural errors.
Curved Mesiobuccal Root in Upper Molar
Upper Right First Molar (UR6)
The mesiobuccal root had a pronounced S-shaped curvature. This double curve creates a high risk of instrument separation (file breakage) and procedural errors if not managed with appropriate technique.
Retreatment of Upper Premolars
Upper Right Premolars (UR4 and UR5)
The old root filling material must be completely removed - a painstaking process that risks pushing infected debris beyond the root tip. In both teeth, the previous fillings were short of the apex, suggesting untreated portions of the canals.
Retreatment of Upper First Molar
Upper Left First Molar (UL6)
The original treatment showed voids and poor adaptation of the old filling material. The existing root filling material had to be completely removed from three canals before fresh treatment could be carried out.
Two-Rooted Lower Lateral Incisor Through Crown
Lower Right Lateral Incisor (LR2)
Lower lateral incisors almost always have a single root and canal. This tooth had two distinct roots - an extremely rare anatomical variation. Treatment had to be performed through the existing porcelain crown, and both roots needed to be identified and treated.
Three Portals of Exit in Lower Premolar
Lower Right Second Premolar (LR5)
This tooth had three separate openings (portals of exit) at the root tip. The canal branched near the apex into three distinct pathways, each of which needed to be cleaned and sealed for successful treatment.
Missed Canal Retreatment with CBCT
Upper Left Lateral Incisor (UL2)
CBCT 3D imaging revealed that the original treatment had completely missed a second canal in this tooth (an uncommon but recognised variant of upper lateral incisors). The untreated canal was harbouring infection.
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