If endo was a cook book recipe, this tooth would be in the garbage.
Some clinicians recommend filling to the radiographic terminus on every case. In this case the canals exited the root 3-4 mm short of the radiographic apex on the mesial root. Achieving “the look” would have meant extruding the cones into the surrounding bone, sacrificing the biology of Endodontics for the “art” of Endodontics.
The distal root has internal resorption. Imagine what a disaster creating a continuous tapering funnel for a process outcome would have been here.
In this case the #cbct and #apexlocator helped me to establish correct lengths. I used #gentlewave to clean the irregularities of this root canal system.
The look is ugly but the prognosis is excellent.
#theartofendodontics #endodontics #rootcanal #endodontist #dentistry #internalresorption #inflammatoryresorption #trustyourapexlocatoroverthepa