Abstract

Canal calcification and obliteration is considered a challenge during root canal treatment. The present case report demonstrates a successful management of calcified pulp chamber and coronal third of the root canals of lower right first molar tooth of a 17-year-old patient that was diagnosed as previously initiated with symptomatic apical periodontitis treated by pulpotomy for a long period. It also emphasizes the use of the aiding tools to negotiate such calcification including intraoperative cone-beam computed tomography. This technology, along with chelating agents, magnification, illumination, and ultrasonic instruments helped in assessing the extent and the depth of the calcification and guided the clinician to the correct location, angle, and depth to negotiate the patent part of the canals, and therefore adequately treated.

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