In every case the right treatment protocol is what works best in your hands. In this case the higly curved mesio-buccal canal was shaped with precurved hand files only. No rotary file could pass beyond the curve. We can overcome the limited mouth opening using microopeners, microdebriders or file holders. Obturation was achieved with a hybrid technique of high speed injectable thermoplasticised gutta-percha plus master cone fit beyond the curve. I just hope this new video could help your own personal treatment protocols of dealing with extreme cases.
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