Management of calcified root canal during root canal therapy

Endodontic Treatment of Two Calcified Mandibular Central Incisors: A Case Report

“…The preoperative diagnosis of canal calcification is essential for the successful and efficient execution of root canal treatment, as it assists in devising an appropriate strategy and selecting the right instruments to handle calcified canals [ 4 , 5 ]. Understanding the degree of calcification is also key in evaluating the complexity of the procedure and the potential for complications [ 5 ].…”

“…However, the presence of pulp canal calcification can complicate these procedures, challenging the effectiveness of the treatment by restricting access and complicating the cleaning and shaping process. This makes the management of calcified canals a critical aspect of successful root canal treatment [ 4 , 5 ].…”

“…Pulp canal calcification poses significant challenges in root canal treatment procedures, including the occlusion of the pulp chamber and obstruction of root canal orifices by dentin or calcified deposits [ 1 , 4 , 5 ]. This can result in missed canals, excessive dentin removal, reduced tooth fracture resistance, and potential perforations in the pulp chamber or pulpal floor [ 4 ].…”

“…Pulp canal calcification poses significant challenges in root canal treatment procedures, including the occlusion of the pulp chamber and obstruction of root canal orifices by dentin or calcified deposits [ 1 , 4 , 5 ]. This can result in missed canals, excessive dentin removal, reduced tooth fracture resistance, and potential perforations in the pulp chamber or pulpal floor [ 4 ]. Calcification can also narrow the root canal space, impeding thorough negotiation, shaping, cleaning, disinfection, and filling of the canal, increasing the risk of complications like ledges, canal perforations, or instrument separation.…”

“…Pulp canal calcification is characterized by the deposition of mineralized tissue within the dental pulp [1,2]. It can manifest as small, distinct calcifications known as pulp stones or as extensive calcification, potentially leading to the narrowing or complete closure of the pulp canal, with its prevalence varying widely from 8% to 95% in different populations [1][2][3][4]. The exact cause of pulp canal calcification remains elusive, yet it is linked to a range of factors classified into physiological, pathological, and iatrogenic categories [2][3][4].…”