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    Back to casesEndodontics · Featured case

    Complex Molar Endodontics — Calcified Canals Under Microscope

    AH
    Dr. Ahmed Hassan
    Endodontics · Cairo
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    BeforeBefore
    AfterAfter
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    Case summary

    Extremely challenging endodontic treatment of a calcified upper first molar with 4 canals. Patient had severe chronic pain for months. Multiple previous dentists had advised extraction.

    Clinical write-up
    P
    Presentation
    Chief complaint, history, and diagnostic findings.

    Extremely challenging endodontic treatment of a calcified upper first molar with 4 canals. Patient had severe chronic pain for months. Multiple previous dentists had advised extraction.

    P
    Planning
    Treatment options weighed and sequencing decided.

    CBCT-guided canal location, ultrasonic troughing under dental operating microscope, ProTaper Gold rotary instrumentation, warm vertical compaction with MTA apical plug

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    Before
    After
    endodontics
    AHDr. Ahmed Hassan· Cairo
    Apicoectomy — Failed Root Canal Re-treatment
    ♡ 24💬 8
    Before
    E
    Execution
    Procedures, materials, and techniques used.
    Materials
    • ProTaper Gold rotary system
    • MTA (Mineral Trioxide Aggregate)
    • Warm vertical obturation system
    • Ultrasonic tips
    Techniques
    • Dental operating microscope
    • CBCT-guided planning
    • Ultrasonic activation of irrigants
    • Modified warm vertical compaction
    O
    Outcome & follow-up
    Healing course, results, and what would change next time.

    All 4 canals successfully located, shaped, and obturated. Periapical lesion healing confirmed at 6-month follow-up CBCT. Tooth retained.

    Discussion · 8
    NH
    Dr. Nabil HamdyApril 10, 2026

    Excellent case documentation. The treatment planning here is really solid.

    YG
    Dr. Youssef GoharApril 14, 2026

    What was the patient's chief complaint initially? The final result speaks for itself.

    SF
    Dr. Sameh FouadApril 18, 2026

    The radiographic follow-up would be great to see here.

    YT
    Dr. Yasmin TawfikApril 18, 2026

    How did you handle the occlusal scheme post-treatment?

    HM
    Dr. Hana MohamedApril 19, 2026

    Wonderful case. Would love to see a 1-year follow-up.

    GE
    Dr. Ghada El-GizawyApril 26, 2026

    Impressive result! Did you use any digital workflow here?

    LA
    Dr. Lina Al-SharifMay 10, 2026

    What was the patient's chief complaint initially? The final result speaks for itself.

    MR
    Dr. Magdy RizkMay 12, 2026

    Really educational case. The step-by-step breakdown helps a lot.

    Sign in as a dentist or clinic to like, save, and comment.

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    Scans
    273 views May 14, 2026 2 sessions over 2 weeks
    Topics
    endomolarcalcified-canalsmicroscopecomplex
    AH
    Dr. Ahmed Hassan
    Cairo
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    Patient privacy

    Patient consented to anonymized educational sharing. Identifying features removed.

    After
    endodontics
    DMDr. Doaa Maher· ElMahalla Elkubra
    RCT for UR7
    ♡ 2💬 1
    Before
    After
    endodontics
    AMDr. Amgad Mohamed· Cairo
    ENDODONTIC TREATMENT FOR LOWER FIRST MOLAR
    ♡ 1💬 0