Sometimes when the conventional endodontic access is not possible, the unconventional approach can save the day.

A clinician should always aim at establishing a straight line access (SLA) in order to properly instrument, irrigate and obturate the canal system.  Depending on the initial challenges, establishing a SLA could mean accessing an anterior tooth through its buccal surface [example below], accessing an anterior tooth through its incisal edge, or accessing a molar tooth through its mesial marginal ridge or its MB cusp.



Dr. Mahmoud Ektefaie @ vanendo

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