No two teeth are the same
Jon Richards DDS MS
I am amazed every day just how variable teeth are. No two teeth are ever the same… mother nature makes sure of it.
This was a carious exposure earlier in the day during a restorative appointment. In general, if the tooth was asymptomatic prior to the caries excavation, there is often no need for an immediate emergency appointment should a carious pulp exposure occur. That being said, it is nice to have the peace of mind that follows having your patient taken care of as soon as possible. Our office was happy to stay late that evening to help when needed, especially an excellent dentist that puts the needs of his patients as a too priority.
At first I thought this upper 2nd molar only had 3 canals. After really searching, the DB canal was located nearly branching from the same orifice as the palatal canal. Sneaky little tooth when you think about it.
As an aside- we always take a bitewing angle prior to starting a case (in addition to a pericapical and often a CBCT). I have never regretted having more information.