One must not decide a tooth extraction on the sole basis of an x-ray observation. In cases of complete calcification of root canal systems, the prognosis of teeth that require an endodontic procedure will not become evident until the practitioner has initiated an endodontic treatment to determine whether the canal can be completely negotiated and then adequately disinfected and filled. Thus root canal procedure should always be attempted even if teeth are presenting with narrow or non-existent root canal.
In this specific case, the endodontist operative microscope from Zeiss was most helpful when striving to find the three narrow canal entries hidden under a layer of Russian red. This microendodontic case study also enlightens how dental operative microscope may assist the practicing dentist into a more secure root canal procedure for his patient.
Root canal shaping was completed with stainless steel K endodontic files in conjunction with the Pro Taper system from Dentsply. Chelating agent: RC Prep. Root canal obturation was completed with gutta percha and Pulp canal Sealer from Kerr using the warm vertical condensation technique.