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Pushing Back the Limit to Save Teeth with Opmi Proergo Dental Operative Microscope. Dental Operating Microscope Assisted Root Canal Procedure on a Completely Stenosed Canal System.

April 6, 2012 By Dr Pierre Pizem Leave a Comment

MicroEndodontic. Case Study Number 449947

Dental operating microscope (D.O.M.), D.O.M. versus completely calcified systems, Root Canal Treatment Pre-Therapy 449947-1 Pulp chamber and root canals are not visible on pre operating X Ray of second mandibular molar. Diffuse calcifications preclude easy canal entries location. Despite its highly calcified canals, this tooth must not be extracted, it can be saved with a dental operating microscope assisted root canal procedure. 

Dental operating microscope (D.O.M.), D.O.M. versus completely calcified systems, Root Canal Treatment Per-Therapy 449947-1 Progressive abrasion of attached pulp chamber calcifications with ultrasonic tips led to the canal entries. Required state of mind: No pushing but resolution.

 Dental operating microscope (D.O.M.), D.O.M. versus completely calcified systems, Root Canal Treatment Per-Therapy 449947-2 First mandibular molar has an apical external root resorption in distal root making it difficult to obturate because of the absence of apical constrictions

Dental operating microscope (D.O.M.), D.O.M. versus completely calcified systems, Root Canal Treatment Per-Therapy 449947-2  Post operative X ray dental film displaying final root canal obturation with gutta percha and Pulp Canal Sealer

Dental operating microscope (D.O.M.), D.O.M. versus completely calcified systems, Root Canal Treatment Per-Therapy 449947-3 Amalgam post and core build up.

Dental operating microscope (D.O.M.), D.O.M. versus completely calcified systems, Root Canal Treatment Post-Therapy 449947-1

This last X ray dental film is a three years post operative control and is showing a complete regeneration of periradicular tissues, teeth are still functional and symptoms free. 

Should an implant have been put there in the first place to replace this second mandibular molar simply because this root canal procedure is extremely difficult to perform? Maybe, maybe not!

Both implant therapy and endodontics show excellent prognosis. To let the informed patient decide for himself  whether or not he want’s to save his tooth instead of having a dental implant is simply common sense.

Filed Under: Dental operating microscope (D.O.M.) assisted R.C.T., Extreme endo clinical cases, General, NEW CASES, Post endodontic treatment outcomes, Regeneration of the periradicular tissues, Resorptive defects healings, D.O.M. versus completely calcified systems, D.O.M. versus partially calcified systems Tagged With: calcified canals, canal entrie location, dental operating microscope, diffuse calcifications, endodontic file, endodontic files, endodontic microscope, endodontic procedure, Endodontist, endomontreal, external root resorption, microendodontics, root canal system, Root canal system calcifications, Root canal treatment

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