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Uncovered Vertucci’s Type V in Distal Root During Endodontic Revision 7 Years Ago Allowed for that Tooth to be Preserved. Thanks to OPMI PROergo Dental Operative Microscope

You are here: Home / Atypical canal configurations / Uncovered Vertucci’s Type V in Distal Root During Endodontic Revision 7 Years Ago Allowed for that Tooth to be Preserved. Thanks to OPMI PROergo Dental Operative Microscope

June 27, 2013 By Dr Pierre Pizem 6 Comments

Performing root canal revision procedure 392346ARoot canal revision procedure 392346BEliminating pain with a Root canal revision procedure 392346C

Root Canal rRevision, a 7 years Post Operative Successful Outcome

Dental operative microscope root canal procedure (Microendodontics). Case Study Number 392346.

Referred patient has had two root canal procedure previously done on this very same tooth and pain was still present for weeks. Extraction and an implant supported crown has been suggested but patient still preferred to once more try to save his own tooth. The dental operative microscope allowed the uncovering of an extra canal ramification during the endodontic procedure. Pain subsided immediately after treating that previously under seen part of the root canal system.

This a class 3 level of difficulty root canal procedure which means that a root canal treatment such as this one is difficult and time consuming to perform. Nevertheless, treating that extra canal was all that was needed to save that tooth. No need for a dental implant here.

Category iconAtypical canal configurations,  Dental operating microscope (D.O.M.) assisted R.C.T.,  Dental operative microscope and retreatment,  Extreme endo clinical cases,  General,  NEW CASES,  Type V,  What's new? Tag iconcalcium hydroxyde,  dental implant,  dental implant versus natural tooth,  Dental operative microscope,  difficult,  endodontic microscope,  endodontic revision,  Endodontist,  Gutta percha,  high level of difficulty,  microendodontics,  Opmi Proergo microscope,  Pain,  pain relief,  pulp canal sealer,  root canal procedure,  vertucci type V root canal configuration

Reader Interactions

Comments

  1. pawel says

    December 29, 2018 at 3:44 pm

    Beautiful work. Please tell me how to obturate such anatomy? Simultaneous lateral condensation and than vertical?”Thank You.

    Reply
    • Dr Pierre Pizem says

      December 29, 2018 at 9:08 pm

      Thank you! Each branch has been individually filled one after the other. Once the first one has been sealed with cold lateral technique the gutta has to be cut flush or slightly apical to the split in order to regain patency to allow for the second branch to be filled. Heat carrier tip under magnification is perfect for this kind of job. Heated gutta for the second wave is the last step. I hope this could help

      Reply
      • pawel says

        December 30, 2018 at 1:13 pm

        Doctor how about placing two master cones (e.g. 35.04) in both branches at one time and condensing vertically? Thank You.

        Reply
        • Dr Pierre Pizem says

          December 30, 2018 at 10:50 pm

          If it was possible to do so this would have been the way to go. Unfortunately the coronal portion of the single canal is too narrow to allow for this to happen (even with a 0.04 taper gutta). Only one cone at once did fit into the distal canal.

          Reply
          • pawel says

            December 31, 2018 at 12:35 pm

            Thank You.

          • Pierre Pizem says

            December 31, 2018 at 5:15 pm

            You are most welcome. If you wish , you can join on FB page for more recent cases: https://www.facebook.com/endomontreal/?ref=bookmarks

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