Failed RCT with Apical Ledge Completed in One Visit Using KITE GOLD Files: Dr. Andrea Balocco’s Endodontic Case Study
26 3 月 2026
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    Managing Converging MB1 & MB2 Canals in Maxillary Molar

    Case Category:
    Complex Anatomy & MB2 Cases

    Clinician:
    Dr. Andreas Louloudiadis
    Endodontist

    Diagnosis

    Maxillary molar with complex root canal anatomy featuring MB1 and MB2 canals that converge in the apical third.

    Clinical Challenges

    • Locating and carefully negotiating the often hidden MB2 canal.
    • Safely managing the convergence of MB1 and MB2 canals in the apical third without creating transportation.
    • Achieving a centered preparation while avoiding unnecessary dentin removal and preserving the original canal anatomy.

    Treatment Highlights

    In this maxillary molar, the MB2 canal was meticulously located and negotiated. It joined the MB1 canal in the apical third, creating a complex converging anatomy. Even when canals merge, each requires full respect and proper management to ensure long-term success.

    Shaping was carried out using the Denco Chameleon Dual Shaper. This system provided smooth, controlled cutting action combined with excellent safety features. The preparation remained perfectly centered throughout the procedure, with no evidence of transportation or excessive dentin sacrifice. The natural root canal anatomy was beautifully preserved from start to finish.

    This case clearly demonstrates that high efficiency and true conservation of tooth structure can be achieved simultaneously when using the right instruments and careful technique.

    Outcome

    Successful location and negotiation of the MB2 canal was achieved. Final shaping with the Denco Chameleon Dual Shaper resulted in a well-centered preparation, free of transportation, while fully preserving the natural tooth anatomy. The case was completed with a predictable and conservative outcome.

    Key Takeaway:
    “Shaping with Denco Chameleon Dual Shaper emphasized smooth, controlled cutting and a high level of safety. The natural anatomy was preserved throughout, proving that efficiency and conservation can go hand in hand.

    Find it. Treat it. Respect the anatomy.

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