Example of a clinical case by Dr Massimo Giovarruscio

Lower canine with two roots and more than one root canal. Irreversible pulpitis diagnosed, requiring root canal treatment (periapical inflammation).

Additional short medial canal (CBCT scan), suggesting the use of a calcium silicate hydraulic material (MTA), which is easier to apply in this complex anatomy.

Surgical microscope: additional short median canal between buccal and lingual roots.

Obturation of buccal and lingual canals by warm vertical compaction with MTA Bioseal obturation cement and gutta- percha.

Median canal obturation with MTA Biorep.

Post-obturation X-ray.