Fig. 1

Patient with pain in the lower right jaw.

The second lower right molar with distal deep caries. A very important tooth because of the bridge.

Fig. 2

Initial situation of the case

Fig. 3

Surgical approach, to isolate the distal part of the tooth

Fig. 4

X-ray after surgical approach

Fig. 5


Fig. 6

Irrigation and activation

Fig. 7

View of all canals

Fig. 8

Final X-ray


Multidisciplinary approaches gives us full control of the various situations we have to deal with in our daily work, on the other hand these types of approaches make us more efficient and safer.

These situations need to be well plannned in advance and have a reasonable chronology.

Multidisciplinary approaches require knowledge and skills of the dentist, as well as cooperation from the patient, and when these conditions are met then success and long-term prognosis will not be missing.


Mauro Venturi,MD,DDS,* Roberto Di enardo, DDS, Carlo Prati MD,DDS,PhD,* and Lorenzo Breschi, DDS,PhD. An In Vitro Model to Investigate Filling of Lateral Canals, JOE Volume 31, Number 12, December 2005.

Chad M. Reader, DDS, Van T. Himel, DDS, Lisa P.Germain,DDS, and Michael M.Hoen, DDS Effect of Three Obturation Techniques on the Filling of Lateral Canals and the Main Canal. Journal of Endodontics, August 1993

N.J.M. Opdam, F.H. van de Sande, E. Bronkhorst, M.S Cenci, P. Bottenberg, U. Pallesen, P. Gaengler, A. Lindberg, M.C.D.N.J.M. Huysmans and J.W van Dijken. Longevity of Posterior Composite Restorations: A Systematic Review and Meta-analysis, Journal of Dental Research 2014.

Jay W.Fridman, DDS, MPH. The Prophylactic Extraction of Third Molars: A Public Health Hazard. American Journal of Public Health 2007 Vol 97.

Gary F.Bouloux, MD, BDS, MDSc, FRACDS, FRACDS(OMS), Martin B. Steed, DDS, Vincent J. Perciaccante, DDS. Complicationss of Third Molar Surgery. Oral Maxillofacial Surg Clin N Am 19 ( 2007 ) 117 – 128.