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Information Journal Paper

Title

Clinical Approach to Pulp Canal Obliteration: A Case Series

Pages

  527-533

Abstract

 This article describes four cases with safe and feasible clinical treatment strategies for anterior teeth with Pulp Canal Obliteration (PCO) using Cone-beam Computed Tomography (CBCT), Digital Radiography (DR), dental operating microscopy (DOM) and ultrasonic tips (US). Four anterior teeth with PCO were chosen. DR was taken with different angulations and analyzed with different filters. Subsequently, the access cavity was performed with the aid of DOM. If the canal was not identified, CBCT was requested. Sagittal and axial slices guided the direction of the ultrasonic tips. After identification of the canal, it was then negotiated and instrumented with the rotary instruments. All four canals were successfully identified, with no complications. In case 1, the canal was identified using DR, DOM and US tips. In cases 2, 3 and 4, the canals were identified with DR, DOM, US tips and CBCT. Complete root canal obliteration identified in radiography did not necessarily mean that pulp tissue was not visible clinically, either. The clinical evaluation of the access cavity with the aid of MO was crucial. If the canal was not identified, CBCT was mandatory in order to show more detailed view of the precise position of the canals, their directions, degrees of obstruction and dimensions. It served as a guide for the direction of the ultrasonic tips to keep them within the pulp chamber safely, with a low risk of iatrogenic injury.

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    APA: Copy

    Soares de Toubes, Kenia Maria, DRUMMOND DE OLIVEIRA, PATRICIA ALVES, Machado, Stephanie Nicacio, Pelosi, Vania, Nunes, Eduardo, & Silveira, Frank Ferreira. (2017). Clinical Approach to Pulp Canal Obliteration: A Case Series. IRANIAN ENDODONTIC JOURNAL (IEJ), 12(4), 527-533. SID. https://sid.ir/paper/303080/en

    Vancouver: Copy

    Soares de Toubes Kenia Maria, DRUMMOND DE OLIVEIRA PATRICIA ALVES, Machado Stephanie Nicacio, Pelosi Vania, Nunes Eduardo, Silveira Frank Ferreira. Clinical Approach to Pulp Canal Obliteration: A Case Series. IRANIAN ENDODONTIC JOURNAL (IEJ)[Internet]. 2017;12(4):527-533. Available from: https://sid.ir/paper/303080/en

    IEEE: Copy

    Kenia Maria Soares de Toubes, PATRICIA ALVES DRUMMOND DE OLIVEIRA, Stephanie Nicacio Machado, Vania Pelosi, Eduardo Nunes, and Frank Ferreira Silveira, “Clinical Approach to Pulp Canal Obliteration: A Case Series,” IRANIAN ENDODONTIC JOURNAL (IEJ), vol. 12, no. 4, pp. 527–533, 2017, [Online]. Available: https://sid.ir/paper/303080/en

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