Root Canal Treatment on Vertucci Type V Configuration – A Case Report

Abstract

Root canal configuration influence the succeed of root canal treatment, because the morphological complexity of the root canal makes the procedure for preparation and obturation of the root canal more challenging. The anatomy and morphology of the root canal can be classified according to the Vertucci root canal classification system. In the Vertucci type V classification at the apical third of root the canal is divided into two separate root canals with two different apical foramen. This condition requires appropriate obturation techniques in order to obtain a hermetic seal. Case report: A 19 year old female patient wanted her upper left posterior tooth to be treated. Post dental history revealed there was spontaneous pain in the tooth, particularly happened at night. There was no pain detected during examination. The objective examination showed there was secondary caries in mesioincisal area of maxillary left first premolar tooth. Percussion, palpation and thermal vitality test was negative. The periapical radiograph revealed a radiolucent area at the apex of the tooth. The diagnosis established for this tooth was partial pulp necrosis with asymptomatic apical periodontitis. The configuration of the root canal was established as Vertucci type V. Root canal treatment using rotary crown down preparation technique and obturation with warm vertical condensation were performed, followed by class II composite resin restoration reinforced by short fiber reinforced composite. Conclusion: Root canal treatment with warm vertical condensation obturation technique is the appropriate treatment of choice for Vertucci type V root canal configuration.