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Complex root canal treatment for irreversible pulpitis under a microscope

Complex root canal treatment for irreversible pulpitis under a microscope

Complaints:

Severe aching pain in tooth 2.6. At a previous clinic, treatment was declined because the dentist identified severely curved root canals.

Diagnosis:

Irreversible pulpitis of tooth 2.6.

Treatment:

For treatment planning, a comprehensive examination was performed, including a CBCT scan and periapical radiography. Treatment was carried out under STA computer-assisted anesthesia with rubber dam isolation. After removing the old filling and carious tissues, all root canals were identified and treated to their physiological apices under the control of a Seiler Evolution XR6 dental microscope. NiC and SOCO instruments, along with ultrasonic-activated irrigation, were used to thoroughly clean the root canal system. Following hermetic obturation of the canals using the warm gutta-percha 3D technique, the tooth was restored with Estelite Asteria composite material. The final stage included tooth preparation and placement of a full-anatomical zirconia crown fabricated using CAD/CAM technology.

In this clinical case, the patient presented with severe aching pain in tooth 2.6. The patient had previously been refused treatment at another clinic due to the complex anatomy and significant curvature of the root canals.

During the examination and CBCT scan of the jaws, irreversible pulpitis of tooth 2.6 was diagnosed.

Treatment was performed under STA computer-assisted anesthesia with rubber dam isolation. Using a Seiler Evolution XR6 operating microscope, the root canals were prepared and hermetically sealed using the warm gutta-percha 3D obturation technique, after which the tooth was restored with Estelite Asteria composite material.

For long-term protection of the tooth, a full-anatomical zirconia crown fabricated using CAD/CAM technology was placed.

Result:

Pain was eliminated, and the tooth’s function was fully restored.

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Who provided the treatment:

The endodontic stage was performed by
Kukhar Irina