Case 11 Buccal access lower anterior

Pre-op x-ray #26 Internal resorption

Pre- op photo

Access photo

Post-op photo

Post-op x-ray #26

When accessing lower anterior teeth, many times it is much easier to access from the buccal, especially when the tooth is lingually displaced as it is in this case. Also, buccal access may be more prudent when there is a large buccal restoration and no restoration on the lingual. Natural tooth structure will be saved by accessing the existing restoration.

Internal resporption should be treated immediately when it is first diagnosed. In my experience watching an asymptomatic internal lesion develop is not in the best interest of the patient. The root canal is much easier and therefore the internal resorption is easier to treat when the damage is minimal.