This type of root canal treatment has a high level of difficulty because debridement of those ribbonlike C shape root canals is an extremely painstaking task to perform and because of tooth remote position in patient’s mouth. Procedure is also complicated due to the high level of tooth calcification.
Calcified root canals entries where located with the help of a dental operative microscope. These where embedded in a mass of pulpstones and calcifications which had to be removed with an ultrasonic tip BUC One from Spartan. Calcium Hydroxide Antibacterial gel insertion was mandatory to control infection within the root canal system. This gel has been removed in a subsequent appointment and replaced by a permanent root canal filling.
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).