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Carl Zeiss OPMI PROergo Insured Enough Visual Accuracy to Prevent a Missed Apical Split in a Calcified Mesial Root.

March 29, 2012 By Dr Pierre Pizem Leave a Comment

Atypical Canal Configurations, Type V, Root Canal Treatment Pre-Therapy 197337-1  Atypical Canal Configurations, Type V, Root Canal Treatment Per-Therapy 197337-1  Atypical Canal Configurations, Type V, Root Canal Treatment Post-Therapy 197337-1

 

 

 

 

 

Endodontist. Case Study Number 197337

The recent addition of dental operative microscope (DOM) to endodontic therapy can allow better visualization and management of the intricate morphology of the root canal system during endodontic procedures through magnification and greatly improved high intensity lighting. Dental Microscope typically magnifies in the 4X to 25X range. The other commonly used magnification aide, through lens eyeglass mounted surgical telescopes, provides 2.5X to 4.5X magnification. 

We have been presented with this second mandibular molar that has only two canal entries on pulpal chamber floor. At first sight one could have easily concluded the presence of only two canals. In fact, the mesial root has a Vertucci’s type 5 canal configuration. A Vertucci type V pulp space configuration can be described as follow: One canal leaves the pulp chamber and divides short of the apex into two separate distinct canals with two distinct foramina (1-2). Without magnification the root canal apical “split” could have been under seen, treating one branch out of two and leaving  pulp tissue inside the other branch.

Surgical operating microscopes have a steep learning curve and require training, as well as patience and practice to master. Still this piece of equipment and the learning effort it implies is well worth it since cases that once seemed impossible can now be treated with a high degree of confidence and clinical success. 

As the saying goes:”A picture is worth a thousand words”, Click here to have a look at what can be seen at an operative field under magnified observation (10X to 25X range). 

Filed Under: Atypical canal configurations, Curved canals, Extreme endo clinical cases, General, NEW CASES, Type V, What's new?, D.O.M. versus partially calcified systems Tagged With: Dental operative microscope, endodontic microscope, endodontic procedure, Endodontist, microendodontics, Microscope, Opmi Proergo microscope, Protaper dentsply, root canal apical split, root canal procedure, Root canal system calcifications, Root canal treatment, surgical operative microscope, vertucci type V root canal configuration

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