• HOME
  • ABOUT
    • EndoMontreal Clinic
    • Dr. Pierre Pizem
  • CONTACT
  • EN | FR

ENDOMONTREAL

Dr Pizem Advanced Endodontics Procedures

  • Advanced Root Canal Treatment
    • Symptoms & Procedure
    • Why Micro Endodontics?
  • General Dentistry
  • Patients info
    • Frequently asked questions (FAQ)
    • Having a failed root canal treatment?
    • Treatment sequence at our clinic
    • Tooth saving tips
  • For Dentists
    • Refer a patient
    • Clinical cases
You are here: Home / Dental operating microscope (D.O.M.) assisted R.C.T. / The dental operative microscope does play a key role in difficult root canal treatments

The dental operative microscope does play a key role in difficult root canal treatments

September 15, 2015 By Dr Pierre Pizem Leave a Comment

Calcified root canals pre therapy  Calcified root canals picture MB2 Calcified root canals post therapy

The patient was experiencing a daily constant nagging pain for the last 2 months. Pain increased along with some gum swelling the during last two days. Tooth is calcified thus its root canals are narrow and the pulp chamber is filled with pulp stones. Locating narrow root canals entries can be done in an much easier way under high magnification. In such instances a dental operative microscope is mandatory.

Palatal as well as DB could easily be located after pulp stones removal with Spartan BUC One ultrasonic tip and a P5.  MB1 as been located by extending the access cavity toward buccal. Under full strength microscope magnification, MB2 canal entry  has been located under a 2 millimeters thick layer of sclerotic dentin.

Since a purulent exsudat was present, root canal apical preparations are large. Ca(OH)2 dressing was left in place for ten days and root canals have then been filled in a subsequent appointment.

Instrumentation has been performed with Mani stainless K files and ProTaper Universal (Dentsply). Chelator: RC Prep. PUI Irrigation: NaOCl 5%. Sealer used: Pulp Canal Sealer. Obturation technique WVC. X Ray Sensors used:  CareStream Kodak 6100. Magnification OPMI PROergo (Carl Zeiss)

 

Filed Under: Dental operating microscope (D.O.M.) assisted R.C.T., Pulp stones (denticles), Striving for second Mesio vestibular (MB2), What's new?, D.O.M. versus partially calcified systems Tagged With: Endodontist, Microscope, root canal procedure, Root canal system calcifications, Root canal treatment, tooth, calcified, root canal therapy, root canal entries

Clinical cases categories

  • Atypical canal configurations
    • Radix Entomolaris
    • Taurodontism
    • Type II
    • Type III
    • Type V
    • Type VI (Crossed canals)
    • Very long teeth
    • ‘C’ shaped canal system
  • Curved canals
    • Dilaceration
    • Extremely curved root canals (90 degrees +)
    • C-form canal curvature
    • S-form canal curvature
  • Dental operating microscope (DOM) assisted RCT
    • DOM vs. cracks
    • DOM vs. completely calcified systems
    • DOM vs. partially calcified systems
    • Striving for 2ndMesio vestibular (MB2)
    • Pulp stones (denticles)
  • Dental operating microscope and retreatment
    • Finding previously underseen MB2
    • Orthograde MTA plugs and root repairs
    • Broken instruments removal
    • Casted and machined posts removal
    • Ledges and apical zip
    • N2 (Sargenti Paste) removal
    • Silver points removal
  • Extreme clinical cases
  • Post and core build ups
  • Post endodontic treatment outcomes
    • Regeneration of the periradicular tissues
    • Resorptive defects healings
  • Root canal systems calcifications
  • Surgical removal of tooth structure
    • Tooth sectioning
    • Apicoectomy, curettage and retrofilling

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

© 2019 ENDOMONTREAL · HOME · ABOUT · CONTACT US