Very Long Mandibular Molar with Root Canals Not Visible on X Ray Image in Apical Third.

              

 Endodontist. Case Study Number 474446

Deep deciduous restorations have been replaced 4 days ago. Patient has been experiencing severe spontaneous throbbing pain for the last two days. Tooth is presenting an irreversible pulpitis following a restoration replacement.

Radiographic examination shows calcifications in apical third of all root canals (calcified canals), a thickened PDL in furcation and a very long tooth with a severe curvature in mesial root. The two mesial canals are merging in apical third and their length is 27mm.

Calcifications have been removed from pulp chamber with ultrasonic diamond coated tips from Spartan^TM, Endodontic treatment done in one appointment with lots of RC Prep^TM for chelating agent, Pro Taper^TM NITI files, gutta percha and Pulp Canal Sealer^TM .