Decision Tree analysis on Management of Calcified Canals

S. B Divya; Adimulapu Hima Sandeep

doi:10.53730/ijhs.v6nS3.5979

Authors

S. B Divya Post graduate student, Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600077
Adimulapu Hima Sandeep
himas.sdc@saveetha.com
Senior lecturer, Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospital, Saveetha Institute of medical and technical Sciences, Saveetha University, Chennai - 600077

Keywords:

decision, tree analysis, calcified canals

Abstract

Calcific metamorphosis is also called pulp canal obliteration. Canals can be partially or fully obliterated. Most common reasons for calcified canals are trauma and aging. These calcific deposits can cause a considerable challenge to the dental practitioner in locating the canals, reaching the working length and also cleaning and shaping the canals. Attempt to negotiate the canals and perform biomechanical preparation without proper and thorough knowledge on management of calcified canals can lead to iatrogenic errors caused by the clinician such as perforation, fracture of instrument, transportation etc.Most important thing before attempting to negotiate such calcified canals is to have a thorough knowledge on the normal anatomical form and morphology of the root canal system of the particular tooth. Practicing under dental loupes or microscope can add to the clear vision and aid in locating and negotiating the canal. Different armamentarium is available for this purpose like basic small size k file, c pilot files, Endo guide burs, ultrasonic, chelating agents, endodontic surgery to advanced Guided Endodontics.

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References

Reddy P, Krithikadatta J, Srinivasan V, Raghu S, Velumurugan N. Dental Caries Profile and Associated Risk Factors Among Adolescent School Children in an Urban South-Indian City. Oral Health Prev Dent. 2020 Apr 1;18(1):379–86.

Spinas E, Deias M, Mameli A, Giannetti L. Pulp canal obliteration after extrusive and lateral luxation in young permanent teeth: A scoping review. Eur J Paediatr Dent. 2021;22(1):55–60.

Muthukrishnan L. Imminent antimicrobial bioink deploying cellulose, alginate, EPS and synthetic polymers for 3D bioprinting of tissue constructs. Carbohydr Polym. 2021 May 15;260:117774.

Rohit Singh T, Ezhilarasan D. Ethanolic Extract of Lagerstroemia Speciosa (L.) Pers., Induces Apoptosis and Cell Cycle Arrest in HepG2 Cells. Nutr Cancer. 2020;72(1):146–56.

Karobari MI, Basheer SN, Sayed FR, Shaikh S, Agwan MAS, Marya A, et al. An In Vitro Stereomicroscopic Evaluation of Bioactivity between Neo MTA Plus, Pro Root MTA, BIODENTINE & Glass Ionomer Cement Using Dye Penetration Method. Materials [Internet]. 2021 Jun 8;14(12). Available from: http://dx.doi.org/10.3390/ma14123159

Teja KV, Ramesh S. Is a filled lateral canal - A sign of superiority? J Dent Sci. 2020 Dec;15(4):562–3.

Romera A, Peredpaya S, Shparyk Y, Bondarenko I, Bariani GM, Abdalla KC, et al. Bevacizumab biosimilar BEVZ92 versus reference bevacizumab in combination with FOLFOX or FOLFIRI as first-line treatment for metastatic colorectal cancer: a multicentre, open-label, randomised controlled trial. The Lancet Gastroenterology & Hepatology. 2018;3(12):845–55.

de Toubes KMS, de Oliveira PAD, Machado SN, Pelosi V, Nunes E, Silveira FF. Clinical Approach to Pulp Canal Obliteration: A Case Series. Iran Endod J. 2017 Autumn;12(4):527–33.

PradeepKumar AR, Shemesh H, Nivedhitha MS, Hashir MMJ, Arockiam S, Uma Maheswari TN, et al. Diagnosis of Vertical Root Fractures by Cone-beam Computed Tomography in Root-filled Teeth with Confirmation by Direct Visualization: A Systematic Review and Meta-Analysis. J Endod. 2021 Aug;47(8):1198–214.

Raj R K, D E, S R. β-Sitosterol-assisted silver nanoparticles activates Nrf2 and triggers mitochondrial apoptosis via oxidative stress in human hepatocellular cancer cell line. J Biomed Mater Res A. 2020 Sep;108(9):1899–908.

Mainkar A, Kim SG. Diagnostic Accuracy of 5 Dental Pulp Tests: A Systematic Review and Meta-analysis. J Endod. 2018 May;44(5):694–702.

Vijayashree Priyadharsini J. In silico validation of the non‐antibiotic drugs acetaminophen and ibuprofen as antibacterial agents against red complex pathogens. J Periodontol [Internet]. 2019; Available from: https://aap.onlinelibrary.wiley.com/doi/abs/10.1002/JPER.18-0673?casa_token=c1ZUKpvV4FYAAAAA:nGIn5y1t0sNafnHsB3eQzVYNVUjjv_eV6Z5QygL-7NphaVMFmrOfz551sV-SgbR2DLu7gET64Nv_cA

Vijayashree Priyadharsini J, Smiline Girija AS, Paramasivam A. In silico analysis of virulence genes in an emerging dental pathogen A. baumannii and related species. Arch Oral Biol. 2018 Oct;94:93–8.

Uma Maheswari TN, Nivedhitha MS, Ramani P. Expression profile of salivary micro RNA-21 and 31 in oral potentially malignant disorders. Braz Oral Res. 2020 Feb 10;34:e002.

Gudipaneni RK, Alam MK, Patil SR, Karobari MI. Measurement of the Maximum Occlusal Bite Force and its Relation to the Caries Spectrum of First Permanent Molars in Early Permanent Dentition. J Clin Pediatr Dent. 2020 Dec 1;44(6):423–8.

Chaturvedula BB, Muthukrishnan A, Bhuvaraghan A, Sandler J, Thiruvenkatachari B. Dens invaginatus: a review and orthodontic implications. Br Dent J. 2021;230(6):345–50.

Kanniah P, Radhamani J, Chelliah P, Muthusamy N, Joshua Jebasingh Sathiya Balasingh E, Reeta Thangapandi J, et al. Green synthesis of multifaceted silver nanoparticles using the flower extract of Aerva lanata and evaluation of its biological and environmental applications. ChemistrySelect. 2020 Feb 21;5(7):2322–31.

Allen MJ, Glickman GN, Griggs JA. Comparative analysis of endodontic pathfinders. J Endod. 2007 Jun;33(6):723–6.

Carr GB, Murgel CAF. The use of the operating microscope in endodontics. Dent Clin North Am. 2010 Apr;54(2):191–214.

Del Fabbro M, Taschieri S, Lodi G, Banfi G, Weinstein RL. Magnification devices for endodontic therapy. Cochrane Database Syst Rev. 2015 Dec 9;(12):CD005969.

Perrin P, Neuhaus KW, Lussi A. The impact of loupes and microscopes on vision in endodontics. Int Endod J. 2014 May;47(5):425–9.

Perrin P, Eichenberger M, Neuhaus KW, Lussi A. Visual acuity and magnification devices in dentistry. Swiss Dent J. 2016;126(3):222–35.

Wu D, Shi W, Wu J, Wu Y, Liu W, Zhu Q. The clinical treatment of complicated root canal therapy with the aid of a dental operating microscope. Int Dent J. 2011 Oct;61(5):261–6.

Plotino G, Pameijer CH, Grande NM, Somma F. Ultrasonics in endodontics: a review of the literature. J Endod. 2007 Feb;33(2):81–95.

Haapasalo M, Shen Y, Wang Z, Gao Y. Irrigation in endodontics. Br Dent J. 2014 Mar;216(6):299–303.

Chandler N, Chellappa D. Lubrication during root canal treatment. Aust Endod J. 2019 Apr;45(1):106–10.

Hülsmann M, Heckendorff M, Lennon A. Chelating agents in root canal treatment: mode of action and indications for their use. Int Endod J. 2003 Dec;36(12):810–30.

Machado R, Garcia L da FR, da Silva Neto UX, Cruz Filho A de M da, Silva RG, Vansan LP. Evaluation of 17% EDTA and 10% citric acid in smear layer removal and tubular dentin sealer penetration. Microsc Res Tech. 2018 Mar;81(3):275–82.

da Silva DP, Silva IMR, Falcao LF, Falcao DF, Ferraz MÁA, Falcao CAM. Penetration degree of sealer in artificial lateral canal after passive ultrasonic irrigation with EDTA for different times. Acta Odontol Latinoam. 2019 Aug 1;32(2):51–6.

Falcon PA, Falcon CY, Abbasi F, Hirschberg CS. Chamberless Endodontic Access for Treatment of Calcified Anterior Central Incisors. J Endod. 2021 Feb;47(2):322–6.

Zehnder MS, Connert T, Weiger R, Krastl G, Kühl S. Guided endodontics: accuracy of a novel method for guided access cavity preparation and root canal location. Int Endod J. 2016 Oct;49(10):966–72.

Llaquet Pujol M, Vidal C, Mercadé M, Muñoz M, Ortolani-Seltenerich S. Guided Endodontics for Managing Severely Calcified Canals. J Endod. 2021 Feb;47(2):315–21.

Buchgreitz J, Buchgreitz M, Bjørndal L. Guided root canal preparation using cone beam computed tomography and optical surface scans - an observational study of pulp space obliteration and drill path depth in 50 patients. Int Endod J. 2019 May;52(5):559–68.

Connert T, Krug R, Eggmann F, Emsermann I, ElAyouti A, Weiger R, et al. Guided Endodontics versus Conventional Access Cavity Preparation: A Comparative Study on Substance Loss Using 3-dimensional-printed Teeth. J Endod. 2019 Mar;45(3):327–31.