‏Two Different Techniques, One Goal: Anatomy-Based Obturation in a Strategic Mandibular Third Molar

pre-operative for strategic wisdom with calcific Metamorphosis in distal canal , retrieval of calcified tissue was done using US then alot of cleaning and activation The complexity of root canal anatomy necessitates a customized approach to cleaning, shaping, and obturation in order to achieve long-term endodontic success. This report presents the management of a strategic mandibular third molar exhibiting calcific metamorphosis in the distal canal, where anatomy-based obturation strategies were employed to ensure an optimal three-dimensional seal. Following access preparation, ultrasonic instrumentation was utilized to retrieve calcified tissue from the distal canal, thereby regaining canal patency. Subsequent chemomechanical preparation included thorough cleaning and continuous irrigant activation. Given the canal morphology, the squirting technique was selected for obturation of the distal…