Open AccessEndodontic management of pulp canal obliteration: A case report of two cases
Author(s) -
Ashish Kamboj,
Nishant K. Sinha,
S S Chopra,
Ashok Rathod,
Pritam Mohanty,
Prateek Mathur
Publication year - 2022
Publication title -
ip international journal of maxillofacial imaging/international journal of maxillofacial imaging/ip international journal of maxillofacial imaging
Language(s) - English
Resource type - Journals
eISSN - 2581-382X
pISSN - 2455-6750
DOI - 10.18231/j.ijmi.2022.004
Subject(s) - root canal , dentistry , medicine , pulp (tooth) , endodontic therapy , perforation , debridement (dental) , crown (dentistry) , orthodontics , punching , materials science , metallurgy
Pulp canal obliteration (PCO) is defined as a deposition of hard tissue within the root canal space and a yellow discoloration of clinical crown. These tissues can eventually produce the radiographic appearance of a root canal space that has become partial or completely calcified. These teeth provide an endodontic treatment challenge. The critical management decision being whether to treat these teeth endodontically immediately upon detection of the pulpal obliteration or to wait until symptoms or signs of pulp or periapical disease occur. Success in root canal treatment is based on proper debridement, disinfection and obturation of the root canal system. However, this procedure may be difficult or even impossible to achieve if the pulpal space is calcified. The endodontic treatment performed under these circumstances pose the risk of root perforation, a complication that seriously affects the long-term prognosis of tooth. The present article discusses a series of cases of endodontic treatment in teeth with partially or completely PCO and methods for the clinical management of these cases using contemporary endodontic techniques.