A good access and a C+ File are very useful, being calm and analyse the chromatic were also a key point here. When I saw a really small white point (calcified canal) at the center I tried to use a the C+ File (08) and from there it was relatively easy ( C+ 08 -> K10 -> K15 -> ProGlider 16 with progressive taper -> Twisted File 25.06 - > 30.06 -> 35.06)
Copious irrigation is mandatory!
Irrigation: NaOCl 5.25 %
Activation of irrigation: Manual Dynamic Activation (MDA)
Final irrigation: NaOCl 5,25 %, citric acid 10 %, alcohol 96 %
(single visit root canal treatment)
I will post the follow-ups just to se if it's healing. That is if the patient come to the appointments. Tooth 32 will also need a non-cirurgical endodontic treatment and we didn't found the canals either on this one.
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