• 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

Going the extra mile to secure root canal treatment success

October 15, 2015 By Dr Pierre Pizem 2 Comments

endodontist root canal pre therapy 14:10:2015 root canal post therapy 14:10:2015

Patient has been referred for root canal treatment on both first and second maxillary molars. Tooth number 16 had necrotic pulp and tooth 17 presented with irreversible pulpitis. Patient was taking both antibiotics and analgesics.

To alleviate patient’s pain, both teeth had to be simultaneously cleaned and shaped during the first setting. A pulpectomy on 17 and  a cleaning and shaping of 3 canals of tooth 16 have been performed. An interim calcium hydroxide dressing has been inserted and patient had to come back in order to locate clean and shape the second mesio vestibular. During the second appointment the dental operative microscope allowed us to uncover and treat both an apical split in tooth  number 17 and a fourth canal in tooth 16.

Despite the fact that on the pre operative X Ray image tooth number 17 seemed to have a single large canal, it ended up being a Vertucci type 5 root canal configuration (a single canal splitting in two branches short of the apex). As for tooth 16 a second mesio vestibular was expected to be present in its mesio vestibular root, still, dental operative microscope has there too been very useful when trying to locate it.

Access opening has been performed with a combination of a 556 cross cut and a round tungsten carbide bur (Friction Grip). Operative field observation has been enhanced with high magnification and coaxial xenon lamp illumination (Carl Zeiss OPMI PROergo dental operative microscope). Dystrophic calcifications have been removed from pulp chamber with ultrasonic diamond coated tips in order to expose the second mesiovestibular root canal entry location.

Instrumentation has been performed with Mani stainless K files and ProTaper Universal (Dentsply). Chelator: RC Prep. PUI Irrigation: NaOCl 5%. Ultrasonic tip: BUC One from Spartan. P5 (Dentsply) Sealer used: Pulp Canal Sealer. Obturation technique WVC. X Ray Sensors used: CareStream Kodak 6100.

 

Filed Under: General, Dental operating microscope (D.O.M.) assisted R.C.T., Striving for second Mesio vestibular (MB2), Type V, D.O.M. versus partially calcified systems Tagged With: Endodontist, Expertise, Microscope, rc prep, root canal procedure, Root canal system calcifications, Root canal treatment, tooth, vertucci type V root canal configuration, calcified, NaOCl, root canal therapy, root canal entries, second mesiovestibular, chelating agent, Protaper, zeiss

Reader Interactions

Comments

  1. Dr ayman says

    October 15, 2015 at 11:13 am

    Nice cases

    Reply
    • Dr Pierre Pizem says

      November 4, 2015 at 7:15 pm

      Thank you Dr Ayman!

      Reply

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