Root canal system is barely visible on pre operative dental X ray image indicating almost complete pulp chamber and root canal stenosis. Root canal calcification build up represents a challenge for the practicionner when attempting to locate canal entries and when performing root canal shaping and cleaning. Endodontic microscope has been most helpful in this case to uncover the pulp chamber without perforating the chamber floor.
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) Sealer used: Pulp Canal Sealer. Obturation technique WVC. X Ray Sensors used: CareStream Kodak 6100
This intricate root canal procedure case has been posted on a specialized root canal FB forum at: https://www.facebook.com/groups/styleitalianoendodontics/search/?query=pizem