Case study by Dr Massimo Giovarruscio (CC5)

Lower canine with two roots and more than one 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.

Filling of buccal and lingual canals by hot vertical compaction with Bioseal MTA filling cement and gutta- percha.

Obturation of the median canal with MTA Biorep.

Radiograph after obturation.