Management of Pulp Canal Obliteration Using the Modified-Tip Instrument Technique

Siddiqui, Shoaib Haider

doi:10.12816/0023999

Cited by 8 publications

(8 citation statements)

References 3 publications

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“…This method involves taking a K-type file, specifically sizes #30 and #35, and trimming its tip by 4 mm using an orthodontic wire cutter, resulting in the creation of a sharp edge at the newly formed working end. When employed with controlled apical pressure and rotary movements, this modified file becomes an effective and powerful cutting tool [26,27]. Zehnder and colleagues discovered that "Guided Endodontics" allowed for precise root canal preparation extending to the tip of the root through the use of guiding templates.…”

Section: Managementmentioning

confidence: 99%

Correlation of Pulp Calcification and Cardiovascular Conditions: A Literature Review

Loya,

Nikhade

2023

Cureus

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The pathophysiology of calcified dental pulp is considered to be comparable to that of calcified atheroma in the artery. These calcified masses are small nodular which is seen more often in the coronal pulp region than in the radicular pulp. This is generally more common in the elderly population and usually corresponds to increasing age. Calcifications are also found in the brain, breast, arteries, and kidneys. There is a link between pulp calcification and cardiovascular problems. It is commonly assumed that individuals suffering from cardiovascular diseases have a higher risk of calcification in the pulp. The use of radiography as a quick means of detecting cardiovascular disease is possible. The pulp calcification process is usually triggered by the osteoblastic process. The process is identified by the presence of an osteoid matrix, which is built down by odontoblast cells in the pulp's peripheral portions, culminating in the production of tissue that is comparable to dentine. This review will look at pulp calcifications from all angles, including their mechanism, clinical considerations, radiographic features, and management, and also to determine if there is a link between pulp calcification and cardiovascular problems.

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Section: Managementmentioning

confidence: 99%

Correlation of Pulp Calcification and Cardiovascular Conditions: A Literature Review

Loya,

Nikhade

2023

Cureus

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“…Essa condição acontece quando a polpa é lesada e como consequência ocorre a deposição de tecido mineralizado na entrada ou ao longo dos canais (Oginni et al, 2009). As calcificações pulpares têm correlação com fatores como cárie, restaurações dentárias, doenças periodontais, restos epiteliais no tecido pulpar, envelhecimento, trauma, gênero e movimentos ortodônticos, entretanto, ainda há conflitos sobre seus mecanismos de formação (Siddiqui, 2014;Berès et al, 2016).…”

Section: Introductionunclassified

Técnica simples, de baixo custo e de fácil execução para o acesso de canais calcificados em dentes molares: relato de casos clínicos

Lima

Durant

Galvão

et al. 2022

EACAD

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O presente artigo tem por objetivo relatar dois casos clínicos em que foram empregados uma técnica simples e de baixo custo para o acesso a entrada de canais calcificados e atrésicos em dentes molares. A técnica foi utilizada em 70 pacientes atendidos no projeto de extensão Tratamento Endodôntico e Restaurador em Dentes Molares, da Faculdade de Odontologia da Universidade Federal de Uberlândia que apresentavam de canais atrésicos calcificados ou que apresentassem dificuldade no acesso de limas ao terço cervical do canal radicular. Dois casos clínicos foram separados para demonstrar a técnica sendo, um realizado no dente 46 de paciente do sexo feminino com 38 anos e outro no dente 16 de paciente do sexo masculino com 64 anos. Após exames clínico e radiográfico foram realizadas a abertura coronária e exploração dos canais com limas Kerr, em seguida a técnica que utiliza broca Gates Glidden nº4 e ácido etilenodiaminotetra-acético (EDTA) para remoção da dentina terciária da entrada dos canais facilitando a instrumentação dos canais com qualquer sistema de limas a ser escolhido pelo cirurgião dentista. Conclui-se que o uso de substâncias quelantes e de brocas Gates Glidden para melhoria da visualização e remoção da dentina na entrada dos canais se mostram eficiente, de baixo custo e de fácil execução; sendo uma técnica indicada para clínicos que atuam no sistema público onde os recursos financeiros para custear a aquisição e a manutenção dos aparelhos são limitados.

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“…Several authors have described a positive correlation between dislocation of the coronal fragment and condition of repair, consisting of total pulp obliteration with decreased response to vitality testing, as well as a yellowish appearance of the crown [8,12]. This condition has been named Pulp Canal Obliteration (PCO), and is defined by the American Association of Endodontists as "...a pulpal response to trauma characterized by rapid deposition of hard tissue within the canal space" [13]. PCO of apical fragment alone is seen most often in cases of healing with hard tissue, while PCO of the apical and coronal fragments is frequently found in cases of healing by CT, as well as in teeth with interposition of CT+B [6].…”

Section: Introductionmentioning

confidence: 99%

A "borderline" dental trauma with 12 y of evolution justifying CBCT as diagnostic method

Yendreka¹,

Fonseca²

2018

biomedicalresearch

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The case of a female with a history of trauma to her maxillary central incisors 12 y ago is presented. The right tooth showed signs of root-fracture healing with a dislocated coronal fragment, total pulp canal obliteration (PCO) and contradictory signs and symptoms. The left tooth showed an indistinguishable fracture line but partial PCO in the apical fragment and normal clinical signs. Although the patient was referred for endodontic treatment of the right central incisor, Cone-beam computed tomography (CBCT) was suggested to confirm the nature of the condition. Because CBCT should not be used routinely for endodontic diagnosis but may be justified in "borderline" cases, it was performed in according to the current legal recommendations, avoiding the unnecessary endodontic treatment. PCO is discussed, as the condition involves not only a radiographic reduction of the pulp canal but also an adaptive morphological pattern of pulp response to trauma.

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Management of Pulp Canal Obliteration Using the Modified-Tip Instrument Technique

Cited by 8 publications

References 3 publications

Correlation of Pulp Calcification and Cardiovascular Conditions: A Literature Review

Correlation of Pulp Calcification and Cardiovascular Conditions: A Literature Review

Técnica simples, de baixo custo e de fácil execução para o acesso de canais calcificados em dentes molares: relato de casos clínicos

A "borderline" dental trauma with 12 y of evolution justifying CBCT as diagnostic method

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