Chamberless Endodontic Access for Treatment of Calcified Anterior Central Incisors

Management of calcified root canal during root canal therapy

“…In another research, chamberless endodontic access (i.e., retrograde instrumentation of canal with ultrasonic activated U-files and filling with warm vertical condensation technique followed by apical seal) demonstrated reliable therapy in treated calcified incisor tooth with chronic apical abscess. 9 Regarding the information in this brief letter, the management of the calcified canal can be realized through the following methods: 1) using guided endodontics (in the form of a cylinder or half-cylinder sleeves), 2) using DSP bur, 3) preparing the calcified canal with EDTA + C-Pilot files, 4) filling pulp chamber with cold ceramic, and 5) applying chamberless endodontic access technique. Hence, clinicians’ ability to select an appropriate treatment plan and incorporate technological resources and digital planning is indispensable to treating calcified canals.…”