mani stainless endodontic files

A Root Canal Treatment on a Severely Curved Root Canal

August 26, 2018 By Dr Pierre Pizem Leave a Comment

A colleague asked me on my facebook page what has been my root canal treatment approach to overcome that challenging anatomy. https://www.facebook.com/endomontreal/

A) Never push a straight stainless steel file into the canal in order to reach the foramen with it. You must first bind your first instrument tip and scout in order to be able to feel and follow the canal shape or its direction change.

B) In a case such as this one, you will most likely meet more than a point of resistance before reaching the foramen and you will have to carve your way in deeper. Pushing your way in at the point of resistance with your file will definitively create a ledge or else with their disastrous consequences. In order to progress deeper, you have to enlarge the coronal portion with your ss file using the enveloppe of motion technique. Continues this way until the desired length is achieved.

C) Then, once the foramen has been reached, you can enlarge the canal in order to create a glide path up to size 15. Once the glide path has been completed you could use the NiTi shaping file of your choice. Needed state of mind NO pushing but strong resolution.
Endodontic procedure instrumentation has been performed with Mani stainless endodontic K files and ProTaper Universal (Dentsply). Chelator: RC Prep. PUI Irrigation: NaOCl 5%.

Root canal procedure on a remote maxillary molar in a patient with limited opening of the mouth

April 14, 2017 By Dr Pierre Pizem Leave a Comment

Endodontic procedure instrumentation has been performed with Mani stainless K files and ProTaper Universal (Dentsply). Chelator: RC Prep. PUI Irrigation: NaOCl 5%. Mesio vestibular canal entry located with the help of 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 has been advised that the next step would be a crown lengthening and a crown

An Extreme Root Canal Treatment Procedure

June 18, 2016 By Dr Pierre Pizem Leave a Comment

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.

Root canal procedure on a tooth presenting with a rare anatomical variation

March 29, 2016 By Dr Pierre Pizem Leave a Comment

$Tooth 24 pre operative fractured cusp 2016-03-29$

Patient had a fractured cusp and has been referred for a root canal treatment. Indistinct root canal path on pre operative Xray did let us suspect an anatomical variation along with calcified canals. Furthermore, a CareStream Kodak 6100 number 2 sensor had to be positioned vertically in order to get the image of this long tooth to its full length.

Both location and instrumentation of root canal split on buccal root has been performed with the help of an Opmi Proergo microscope magnification.

Both buccal working lengths were 26mm and 28mm for the palatal. 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

During the same setting a root canal space preparation for a casted post and a provisional crown with anchorage have been performed.

A root canal procedure on a molar presenting with a supernumerary mesio palatal (MP) root

March 10, 2016 By Dr Pierre Pizem 1 Comment

Root canal procedure on molar presenting with an extra mesio palatal (MP) root. A very rare anatomical variation.

This supernumerary root has been noticed on pre operative X ray image and following the grooves on the pulp chamber floor that led to its very large root canal entry made its location quite straightforward. Extending the access cavity prior to shaping this root canal has been mandatory in order to prevent any apical ledge or endodontic instruments breakage.

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