A 70 year old patient complained about mastication difficulty due to the
loss of mandibular first and second molars for many years. He wanted a fixed
prosthesis to replace his removable one but did not want implant surgery
because his thin alveolar ridge would also imply a block bone grafting.
Patient knew that he could not overcome his dental surgery fear.
Throughout his life, he never wanted to pull out his badly worn wisdom tooth
and always insisted to have it filled over and over again. It turned out in
the end, that he was right because a root canal treatment allowed for this
tooth to be preserved and used as a fixed dental bridge abutment sparing him
the need for a wisdom tooth extraction and also two more implant related
His tooth position in the arch, tooth axis inclination, calcified canals
made this root canal treatment a difficult one to perform