September 2020 Vol. 8 No.9

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Case Report

Managing a maxillary premolar with calcified canals- A case report

Mussab Irfan¹, Sumyya Saleh², Usman Anwer Bhatti³, Shafaq Maqsood⁴, Tariq Akbar⁵, Abdul Haq^6*

^1,2,6FCPS Post Graduation Trainees, Department of Operative Dentistry Riphah International University
³Assistant Professor, Department of Operative Dentistry Riphah International University
⁴Mphil.Pathology Resident, Liaquat University of Medical and Health Sciences, Jamshoro
⁵Demonstrator in Department of Periodontics Riphah International University

*Corresponding Author's Email: drabdul.haq15@gmail.com

Received: 23 August 2020  I  Accepted: 17 September 2020  I  Published: 27 September 2020  I  Article ID: MRJMMS-20-133
Copyright © 2020 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0.

Abstract

Pulpal calcifications or calcific metamorphosis can present a great challenge for successfully performing root canal treatment. These calcifications can prevent achieving straight line access and glide path to the apical thirds of the roots. Pulpal calcifications can have variable presentations like pulp stones, calcified canals or other calcified masses in the pulpal tissue. There is a range of causative factors including dental trauma, orthodontic treatment, genetic and developmental abnormalities, age and pulpal necrosis. Different methods can be used to overcome this problem during root canal treatment. This article explains the use of Cone beam CT (CBCT) and ultrasonic instruments to remove the calcified tissue and gain access to the root canal system for effectively performing the endodontic treatment.

Keywords: Dental trauma, Pulp calcification, Root canal Treatment, ultrasonic