Ledge Bypass in Upper Molar
Upper First Molar (UR6)
Clinical Radiographs



Case Details
Patient
Female, mid-30s
Presentation
Referred with a partially treated upper molar. A previous dentist had begun root canal treatment but was unable to complete it due to a procedural difficulty inside the tooth.
The Challenge
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.
Treatment
Using the dental operating microscope at high magnification, the ledge was carefully bypassed using pre-curved small-diameter files. Once the true canal path was re-established, all canals were cleaned and sealed.
Outcome
Successful obturation of all canals to full working length. The patient reported complete resolution of discomfort.
Need Advanced Endodontic Care?
Whether you're a referring dentist or a patient seeking treatment, our team is here to help.