• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

  514-667-9541

  REQUEST APPOINTMENT

HOME

ABOUT

DR PIZEM

FRANÇAIS

ENDOMONTREAL

ENDOMONTREAL

Dr Pizem Advanced Endodontics Clinic

  • Advanced Root Canal Treatment
    • Symptoms & Procedure
    • Why Micro Endodontics?
  • General Dentistry
  • Patients info
    • Frequently asked questions (FAQ)
    • Having a failed root canal treatment?
    • Treatment sequence at our clinic
    • Tooth saving tips
  • For Dentists
    • Refer a patient
    • Clinical cases
Contact Us

Root Canal Treatment on a Tooth Presenting With a Rare Anatomical Variation

December 9, 2013 By Dr Pierre Pizem Leave a Comment

Anatomical variation 35 and root canal treatment Pre op Mandibular first premolar, necrotic pulp, AAA, patient has a gag reflex making it difficult to take a pre op. X ray dental film revealing a peculiar anatomy variation.

Anatomical Variation and root canal Treatment on 35  Ca(OH)2 First appointment procedure: Access opening, copious NaOCl 2,5% irrigation, two canal entries located by pre bending and scouting through deep main canal constriction, followed by 06,08,10,15 K files from Many. Irrigation protocol: NaOCl 2,5%, absorbent paper points + EDTA 17%, absorbent paper points, CHX 2% for 1-2mn, absorbent paper points, intracanal medication: Ca(OH)2 loaded with Barium Sulfate + Iodine (Metapaste), Teflon, Cavit. Barium sulfate displays a third canal in post operative dental X Ray film.

Anatomical Variation and Root Canal Treatment  Patient is seen 3 weeks later, no more symptoms, scouting with pre bent 08 K file could not be of any use in locating this third canal entry neither as high magnification with coaxial Xenon light. Two previously located canals are shaped up to a 20 K file, followed by ProTaper “original” NiTi file sequence up to F3 in order to allow for ultrasonication. Adding ultrasonication to same irrigation+drying protocol, Pulp Canal Sealer and cold lateral followed by warm vertical in order to maximize the odds of “sealing” what will remain, despite all my efforts, an accessory canal.

 

Filed Under: Atypical canal configurations, Extreme endo clinical cases, NEW CASES, Type V, What's new?, Popular Cases Tagged With: aaa, absorbent paper points, access difficulties, anatomical variation of teeth, apical delta, calcified canal, Calcium hydroxide, canal entry location, root canal anatomy, advanced endodontics, chx, NaOCl, many endodontic files

Reader Interactions

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Primary Sidebar

Quality Endodontics

 25+ Years of Experience
in Root Canal Treatment

 300+ Clinical Cases
Published for dentists

 Conveniently Located
Near Metro Vendôme

Call for an appointment:

(514) 667-9541

Clinical cases by categories:

Pierre Pizem Endodontics

A little message from Dr Pizem:

« I understand how stressful going to the dentist could be for you, the patient. So let me reassure you. I’ve built my entire reputation on my professionalism and the passion I pour into my craft. I will not compromise on equipment quality, nor on the efforts necessary to restore your teeth. In the end, my greatest satisfaction is to see you fully recover your dental health, so you may grab big bites at life again. »

Ready to start your treatment?

In order to avoid risks of further complications, we recommend you book a visit as early as you can. However, if you're already feeling pain or urgent symptoms, we'll make every attempt to see you today.

Get in touch

Footer

Contact

514-667-9541

REQUEST APPOINTMENT

Monday
8:30 am - 4:30 pm
Tuesday
8:30 am - 4:30 pm
Wednesday
8:30 am - 4:30 pm
Thursday
8:30 am - 4:30 pm
Friday
8:30 am - 4:30 pm
Sat. Sun.
Closed

Clinic info

  • Home
  • About
  • Dr Pizem
  • Publications
  • Referring Dentists
    • Refer a patient
    • Clinical cases
  • Français

Patient info

  • Root Canal Therapy
  • General Dentistry
  • Endodontic Retreatment
  • FAQ New Patients
  • Tooth Saving Tips
5025 Sherbrooke St. W, Suite 330A
Montreal (QC) H4A 1S9
Near Metro Vendôme       Directions

Copyright © 2021 Endomontreal

Return to top