Factors affecting the level of difficulty of this endodontic procedure on a long, remote and heavily calcified second maxillary molar 27 (Irreversible Pulpitis):
- Pulp chamber is obliterated making its access more difficult
- Narrow root canal entries are embedded in a mass of calcifications, thus, they do have to be located with a microscope
- Root canals are narrowed by calcifications thus the odds of blocking, perforating or breaking an instrument are higher than in a tooth presenting with wide canals
- To top it all of a second maxillary molar is in a remote area of the mouth making the whole procedure more complicated to perform
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.