RCT and amalgam core build up on a very long, remote and heavily calcified 26 (Irreversible Pulpitis)
Endodontic procedure instrumentation has been performed with Mani stainless K files and ProTaper Universal (Dentsply). Chelator: RC Prep. PUI Irrigation: NaOCl 5%. pulp stones removal with Ultrasonic tip: BUC One from Spartan. P5 (Dentsply) under high magnification and coaxial illumination (Opmi PROergo dental operative microscope from Zeiss) Sealer used: Pulp Canal Sealer. Obturation technique WVC. X Ray Sensors used: CareStream Kodak 6100.
Patient seen on an emergency basis for irreversible pulpitis on second maxillary molar. Pulp stones removal and pulpectomy performed + interim Ca(OH)2 on palatal canal only.
I had to make the patient come back for another setting to complete RCT.
The most difficult part of this procedure has been to obtain patency in a remote mesio vestibular canal as it was located at the bottom of a pulp chamber presenting with taurodontia and also because this canal had a very sharp curve in the first mm of its coronal part. Microscope Opmi ProErgo, Mani K stainless endodontic files, ProTaper from Dentsply.
Irreversible pulpitis, deep carie, deciduous restoration. Maxillary first molar with 4 root narrow canals. The two canals in mesio vestibular root canals are presenting with a curvature into “C” form. Root canal in disto vestibular root has a dilaceration in its apical third.
Endodontic procedure instrumentation has been performed with Mani stainless K endodontic files and ProTaper Universal (Dentsply). Chelator: RC Prep. PUI Irrigation: Sodium hypochlorite 5%. Sealer used: Pulp Canal Sealer. Obturation technique warm vertical condensation (WVC). X Ray Sensors used: CareStream Kodak 6100
Microscope in Endododontics. Case Study Number 513236.
We have been confronted to this three rooted mandibular first molar (Radix Molar or Radix Entomolaris), a rare anatomical variation of teeth, where a third supernumerary root is located distolingually in mandibular molars. Root canal system calcifications and a small radius root canal curvature with an “S” form made this endodontic procedure a complex one.
The prognosis of dilacerated teeth that require endodontic treatment … is difficult to predict before treatment, and in many cases, the prognosis will not become evident until the practitioner has undertaken initial endodontic treatment to determine wether the canal can be negotiated completely and then adequately disinfected and filled.
In that specific case, endodontist operative microscope was most helpful when striving to find the fourth canal entry in distal root, allowing for us not to omit the fourth deeply embedded root canal. This microendodontic case study enlightens how dental operative microscope may assist the practicing dentist into a more secure root canal procedure for his patient. Root canal preparation and filling as been completed with stainless steel K endodontic files in conjunction with the Pro Taper system from Dentsply. Root canal obturation as been completed with gutta percha and Pulp canal Sealer from Kerr using the Schilder-Yu condensation technique.