Complex anatomy in a #35”

Sponsor: EdgeEndo
Author: Amparo Tonda

RESUME
#35 – Two Orifices and One Apical Foramen

Treatment Summary:

• Diagnosis: Referred after initial access; a single canal was suspected. A CBCT scan revealed anomalous anatomy.
• Instrumentation: EdgeTaper up to F2 at 18 mm
• Irrigation: 2.5% sodium hypochlorite, with liquid EDTA as the final irrigant
• Obturation: Performed with EdgeCore 25 and resin-based sealer

This clinical case clearly demonstrates how the correct selection of instruments and a technology-driven diagnostic approach can make a significant difference in managing complex cases.

IMAGES

Image 1: CBCT section illustrating the presumed anatomy of tooth #35 and the associated periapical lesion.

Image 2: Final radiograph demonstrating three-dimensional obturation of both canals and a 1–2 canal configuration

Image 3: Panoramic radiograph capture simulating an AA-type apical anatomy

Image 4: Instrumentation used: EdgeTaper and EdgeGlidePath, hand files, and turbine-driven EndoAccess bur