Cristina Coralia Nistor¹, Irina Bodnar²*, Ruxandra Bartok³ and Stefan Milicescu⁴

¹“Carol Davila” University of Medicine and Pharmacy, Bucharest, Faculty of Dental Medicine, Department of Endodontics, Romania
²“Carol Davila” University of Medicine and Pharmacy, Bucharest, Faculty of Dental Medicine, PhD Student, Romania
³“Carol Davila” University of Medicine and Pharmacy, Bucharest, Faculty of Dental Medicine, Department of Esthetic Dentistry, Romania
⁴“Carol Davila” University of Medicine and Pharmacy, Bucharest, Faculty of Dental Medicine, Department of Prosthodontics, Romania

*Corresponding Author: Irina Bodnar, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Faculty of Dental Medicine, PhD Student, Romania.

Received: October 14, 2024; Published: November 08, 2024

Abstract

Calcified canals are characterized by the deposition of dentin along the canal walls. This paper aims to present the free-hand endodontic management of two clinical cases with this condition. Calcified canals represent one of the most difficult situations for endodontic treatment, due to the possible complications that may occur. Cone-beam computed tomography (CBCT), dental operative microscope and ultrasound are essential for a successful management of root canal obliteration. Careful preoperative evaluation and treatment planning, clinical experience, anatomic knowledge and technical means have a crucial role in the treatment outcome of these canals.

 Keywords: Calcified Canals; Diagnosis; Endodontic Treatment; CBCT; Ultrasound

References

1. Vinagre A., et al. “Management of Pulp Canal Obliteration-Systematic Review of Case Reports”. Medicina (Kaunas) 11 (2021): 1237.
2. de Cleen M. “Obliteration of pulp canal space after concussion and subluxation: endodontic considerations”. Quintessence International9 (2002): 661-669.
3. Dąbrowski W., et al. “Guided Endodontics as a Personalized Tool for Complicated Clinical Cases”. International Journal of Environmental Research and Public Health16 (2022): 9958.
4. Malhotra N and Mala K. “Calcific metamorphosis. Literature review and clinical strategies”. Dental Update1 (2013): 48-50, 53-54, 57-8 passim.
5. Oginni AO., et al. “Evaluation of radiographs, clinical signs and symptoms associated with pulp canal obliteration: an aid to treatment decision”. Dental Traumatology6 (2009): 620-625.
6. Torres A., et al. “Microguided Endodontics: a case report of a maxillary lateral incisor with pulp canal obliteration and apical periodontitis”. International Endodontic Journal4 (2019): 540-549.
7. McCabe PS and Dummer PM. “Pulp canal obliteration: an endodontic diagnosis and treatment challenge”. International Endodontic Journal2 (2012): 177-197.
8. Chaniotis A., et al. “Negotiation of Calcified Canals”. Journal of Clinical Medicine 13 (2024): 2703.
9. Ordinola-Zapata R., et al. “Comparative accuracy of the Clearing Technique, CBCT and Micro-CT methods in studying the mesial root canal configuration of mandibular first molars”. International Endodontic Journal1 (2017): 90-96.
10. Pires M., et al. “Diagnostic value of cone beam computed tomography for root canal morphology assessment - a micro-CT based comparison”. Clinical Oral Investigation3 (2024): 201.
11. Matherne RP., et al. “Use of cone-beam computed tomography to identify root canal systems in vitro”. Journal of Endodontics1 (2008): 87-89.
12. Krasner P and Rankow HJ. “Anatomy of the pulp-chamber floor”. Journal of Endodontics1 (2004): 5-16.
13. Llaquet Pujol M., et al. “Guided Endodontics for Managing Severely Calcified Canals”. Journal of Endodontics2 (2021): 315-321.
14. Jain SD., et al. “3-Dimensional Accuracy of Dynamic Navigation Technology in Locating Calcified Canals”. Journal of Endodontics6 (2020): 839-845.
15. Jain SD., et al. “Dynamically Navigated versus Freehand Access Cavity Preparation: A Comparative Study on Substance Loss Using Simulated Calcified Canals”. Journal of Endodontics11 (2020): 1745-1751.
16. Siddiqui SH and Mohamed AN. “Calcific Metamorphosis: A Review”. International Journal of Health Sciences (Qassim)3 (2016): 437-442.
17. Patel S and Rhodes J. “A practical guide to endodontic access cavity preparation in molar teeth”. British Dental Journal3 (2007): 133-140.
18. Chaniotis A and Ordinola-Zapata R. “Present status and future directions: Management of curved and calcified root canals”. International Endodontic Journal 55 (2022): 656-684.
19. Berutti E., et al. “Root canal anatomy preservation of WaveOne reciprocating files with or without glide path”. Journal of Endodontics1 (2012): 101-104.
20. American Association of Endodontists. “Case difficulty assessment form and guidelines”. Chicago, IL: American Association of Endodontists (2010).

Citation

Citation: Irina Bodnar., et al. “Endodontic Management of Calcified Canals”.Acta Scientific Medical Sciences 8.12 (2024): 27-30.

Copyright

Copyright: © 2024 Irina Bodnar., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.