Root Canal Treatment and Dystrophic calcifications

Root canal procedure on a calcified tooth presenting with a narrow pulp chamber and diffuse calcification throughout both the mesial and distal root canals. To complete the root canal procedure on this calcified mandibular molar, access opening has been performed with a combination of a 556 cross cut and a round (#2) tungsten carbide bur, roof of pulp chamber has been shaved away with ultrasonic tips. 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 both mesial root canal entries. The mesial working lengths were 21mm and 21,5mm for the distal canals. There is a Vertucci’s Type 2 canal configuration in distal root and 2 separate portals of exist in mesial root. 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