One must not decide a tooth extraction on the sole basis of an x-ray observation. In cases of complete calcification of root canal systems, the prognosis of teeth that require an endodontic procedure will not become evident until the practitioner has initiated an endodontic treatment to determine whether the canal can be completely negotiated and then adequately disinfected and filled. Thus root canal procedure should always be attempted even if teeth are presenting with narrow or non-existent root canal.
In this specific case, the endodontist operative microscope from Zeiss was most helpful when striving to find the three narrow canal entries hidden under a layer of Russian red. This microendodontic case study also enlightens how dental operative microscope may assist the practicing dentist into a more secure root canal procedure for his patient.
Root canal shaping was completed with stainless steel K endodontic files in conjunction with the Pro Taper system from Dentsply. Chelating agent: RC Prep. Root canal obturation was completed with gutta percha and Pulp canal Sealer from Kerr using the warm vertical condensation technique.
Interesting case! in how many time did you manage treatment of this tooth? And what do you about system like pathfile or proglide which can be really interesting to find patency of the root, easier maybe?
Thank you for your comment! I am glad that you did appreciate this case. 2 settings were enough to complete this procedure. First setting for the mesial root and second one for the distal root. Pathfile or Proglide won’t fit in those canals since they are much to narrow for these instruments diameter. In order locate the canal entrie, you need to scout the canal and for that purpose you do need a pre curved instrument , a straight one that cannot be bent won’t be of much help, stainless steel files can be pre curved. A number 06 stainless steel K file or a (06 C file) will be more efficient. Mani D finder are also very good instruments. Hope this can help. Cheers!
i understand.very well. thank you for you response.
You are most welcome!
Does aqueous EDTA makes any difference in such cases to get rid of calcification
Yes Dr Ashish Karve it definitely does make a difference, thank you for your comment