RCT with minimal shaping in Radix Entomolaris

The patient comes to the office with irreversible pulpitis symptoms. In the preoperative X-Ray we can see narrow canals and we can suspect additional anatomy in the distal root. Deep mesial caries. We'll try to be conservative with a caries driven access cavity since the tooth has enough healthy structure. We take a CBCT and analyze all the anatomy. In the most coronal part of the axial cut a distal isthmus is observed, it doesn´t seem like they are two roots. When we reach the apical part we see how there is an additional root in the distal part. Individual portal of exit in both distal roots. We can suspect that there will be isthmuses at the connection points between…