Pulp Canal Obliteration: A Review

Kasabwala, Kinnari A; Saumya-Rajesh, Parashar; N, Velmurugan; Ashritha, Mcv

doi:10.5005/jp-journals-10047-0085

Cited by 3 publications

(4 citation statements)

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“…Dalam kasus PCO, tingkat kompleksitas dari perawatan endodontik meningkat sehingga akan menimbulkan potensi terjadinya kecelakaan prosedural iatrogenik, seperti ledge atau perforasi apikal. 1,[11][12][13][14][15] Saat ini, penggunaan teknologi modern, seperti magnifikasi, iluminasi dengan mikroskop dental, tip ultrasonik, pencitraan dari cone beam-computed tomographic (CBCT), dan penggunaan alat seperti guided endodontic, telah meningkatkan presisi keakuratan dalam perencanaan serta melakukan perawatan saluran akar yang terkalsifikasi, sehingga praktisi dapat mengatasi tantangan yang ditimbulkan pada kasus PCO. 14 Pilihan alat bantu yang akan digunakan dalam suatu kasus sangat bergantung dari temuan yang didapatkan saat melakukan pemeriksaan.…”

Section: Pendahuluanunclassified

“…Penurunan suplai darah akan memicu enzim pyrophosphatase konsentrasi rendah yang terlibat dalam regulasi mineralisasi, sehingga terjadi obliterasi pada ruang dan saluran pulpa. 5,13,8 Menurut Cohen dan Hargraves 9 , trauma dapat menyebabkan terjadinya perdarahan dalam saluran akar sehingga terbentuk blood clot yang berperan sebagai suatu sumber yang menginisiasi kalsifikasi pada pulpa vital, bahkan memicu terjadinya obliterasi saluran akar (Gambar 4). Jurnal Kedokteran Gigi Universitas Padjadjaran • Volume 36, Suppl 4, Januari 2024 Gambar 4.…”

Section: Pembahasanunclassified

“…A) Saluran akar normal; B) obliterasi sebagian saluran akar; C) Obliterasi penuh saluran akar. 13 Gigi yang mengalami obliterasi, seringkali akan mengubah mahkota klinis gigi menjadi berwarna lebih gelap atau kuning dibandingkan dengan gigi kontrol. Diskolorasi berwarna kuning keabu-abuan merupakan temuan umum pada gigi dengan PCO, tetapi tidak menunjukkan adanya kelainan penyakit pulpa dan periapikal.…”

Section: Pembahasanunclassified

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Penatalaksanaan diskolorasi gigi insisivus sentral rahang atas kiri dengan obliterasi saluran pulpa: laporan kasus

Nugroho,

Sugiaman,

Dwiandhany

et al. 2024

J Ked Gi Unpad

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Padjadjaran for possible open access publication under the terms and conditions of the Creative Commons Attribution (CC BY) license (https: // creativecommons.org/licnses/by/ 4.0/). ABSTRAKPendahuluan: Obliterasi saluran akar sering terjadi akibat respon dari trauma gigi. Trauma gigi dapat berasal dari akibat kecelakaan atau benturan terhadap gigi dan cedera akibat perawatan gigi seperti pada penggunaan ortodontik. Perawatan ortodontik bila tidak dilakukan secara tepat dapat menjadi salah satu pemicu kerusakan pada jaringan pulpa dan pendukung gigi. Peristiwa tersebut dapat mendorong terjadinya perubahan dimensi internal kavitas pulpa yang berdampak pada diskolorasi mahkota. Tujuan dari laporan kasus ini melaporkan keberhasilan penatalaksanaan diskolorasi gigi disertai obliterasi saluran pulpa akibat perawatan ortodontik yaitu perawatan endodontik konvensional dan internal bleaching. Laporan kasus: Seorang perempuan usia 24 tahun dirujuk ke RSGM Pendidikan Universitas Hasanuddin dengan keluhan perubahan warna gigi insisivus sentral kiri rahang atas akibat cedera traumatik perawatan ortodontik Pemeriksaan radiografi menunjukkan adanya kalsifikasi saluran pulpa dan radiolusen difus di periapikal. Pemeriksaan vitalitas gigi (-), perkusi (+), dan palpasi (-). Rencana perawatan saluran akar yaitu perawatan endodontik konvensional yang dilanjutkan dengan bleaching internal. Prognosis dari kasus ini baik. Simpulan: Penatalaksanaan diskolorasi gigi insisivus sentral rahang atas kiri dengan obliterasi saluran pulpa melalui metode. Kata kunciobliterasi, diskolorasi gigi, saluran pulpa, bleaching internal, diskolorasi gigi Management of maxillary left central incisor discoloration with pulp canal obliteration due to orthodontic treatment: a case report

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Section: Pendahuluanunclassified

Section: Pembahasanunclassified

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Penatalaksanaan diskolorasi gigi insisivus sentral rahang atas kiri dengan obliterasi saluran pulpa: laporan kasus

Nugroho,

Sugiaman,

Dwiandhany

et al. 2024

J Ked Gi Unpad

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“…Pulp canal obliteration is also found in individuals with genetic disorders of the connective tissue, such as the Syndrome of Ehlers-Danlos Type I [4]; type II dentin dysplasia [5]; tumoral calcinosis, Marfan's syndrome [6]; Osteogenesis imperfecta Type I and Otodental Syndrome [7]. Prolonged stimuli as caries, attrition, abrasion, erosion, surgical procedures, and orthodontic therapy can similarly lead to the obliteration of root canals by dystrophic calcifications and pulp stones [8]. Dystrophic calcification in the coronal region and root canal is prevalent in older individuals, which might be due to the pulp aging process and the reduced pulpal blood flow [9].…”

Section: Introductionmentioning

confidence: 99%

Guided endodontic treatment in a region of limited mouth opening: a case report of mandibular molar mesial root canals with dystrophic calcification

et al. 2022

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Background The endodontic treatment of calcified root canals in molars is a challenging and time-consuming procedure. Even with the aid of a surgical microscope, the risk of root perforation is high, especially in the furcation area. The purpose of this study is to report the Computer-Aided-Design and Manufacturing (CAD–CAM) workflow, the innovative strategies for the template ideation, and the guided endodontic treatment of a mandibular molar with dystrophic calcification in the mesial root canals. Case presentation A 58-year-old female patient, ASA I, was referred to endodontic treatment in the right first mandibular molar for prosthetic reasons. The mesiobuccal and mesiolingual canals appeared obliterated in the radiographic images. The absence of dental crown, tooth inclination, and the limited mouth opening of the region contributed to a poor visual reference of the tooth in the dental arch and the direction of the remaining lumens of the canals. Despite using surgical microscopy, the conventional technique led to the deviation of the mesiobuccal canal towards the furcation area. The obliteration of both mesial root canals was confirmed using the Cone Beam Computer Tomography. The clinical history associated with the tomography diagnosis was compatible with dystrophic calcifications in the pulp canals. The patient was submitted to an intra-oral scanning as well. The Digital Imaging and Communications in Medicine data (DICOM) were segmented. The Standard Tessellation Language (STL) files were processed following the CAD–CAM workflow, aiming to create two different endodontic templates with a new open design concept. The templates with open design allowed direct visualization of the operative field, irrigation, and dentin debris removal. The strategy of the guidance sleeves niche as half-cylinders allowed the drill insertion in a limited mouth opening region. Conclusions The digital planning and guided access permitted to overcome the case limitations and then re-establish the glide path following the original anatomy of the root canals. The guided endodontic represents a personalized technique that provides security, reduced risks of root perforation, and a significant decrease of the working time to access obliterated root canals even in the mesial root canal of mandibular molars, a region of limited mouth opening.

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