Case 28 Think outside the box: buccal approach

Pre-operative x-ray #24
Top view of access #24

Lingually displaced lower anterior
Straight line approach with file #24
Post-operative x-ray #24

Final filling in place #24

Lower anteriors, especially when displaced to the lingual, are more readily accessed on the buccal instead of the lingual. This is by far the easiest way to approach root canal therapy when aesthetics is not an issue. The bonded composites on the market provide matching color to the surrounding enamel.