Root Canal Treatment of Severely Calcified Teeth with Use of ConeBeam Computed Tomography as an Intraoperative Resource

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Quaresma Sergio Andre; da Costa Rui Pereira; Ferreira Petean Igor Bassi; Silva Sousa Alice Correa; Mazzi Chaves Jardel Francisco; Ginjeira Antonio; Sousa Neto Manoel Damiao

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Journal Paper

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Journal: Iranian Endodontic Journal Year:2022 | Volume:17 | Issue:1 Page(s): 39-47

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Title

Root Canal Treatment of Severely Calcified Teeth with Use of ConeBeam Computed Tomography as an Intraoperative Resource

Author(s)

Keywords

Cone-Beam Computed Tomography

Dental Pulp Calcification

Intraoperative

Root Canal Treatment

Abstract

The aim of this study was to describe a new strategy, consisting of the use of Cone-Beam Computed Tomography (CBCT) in the planning and Intraoperative stages of Root Canal Treatment (RCT), associated with the use of radiopaque gutta-percha markers, as an auxiliary tool in the location of severely calcified root canals. Three cases involving anterior and posterior teeth with severe calcification of the root canal were submitted to initial periapical radiographic and CBCT evaluations for diagnosis and planning of the operative steps. In a first intervention, when the location of the canal orifice was not successful, radiopaque markers were inserted in the suggested position of canal orifice with the aid of magnification and the use of ultrasonic devices, in order to perform an Intraoperative CBCT analysis that allowed dynamic navigation through the static position of markers. The association of Intraoperative CBCT with radiopaque markers allowed the location of the canal orifice and the following RCT execution. The use of CBCT in two different moments of RCT allowed the diagnosis of three-dimensional anatomical variations of root canal. Add, when associated with the use of radiopaque gutta-percha markers, acted as an auxiliary tool in the location of the canal orifice of calcified canals. Therefore, the presented strategy provides the clinician the precision that cases with calcification require and give an important contribution to treatment predictability.

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APA: Copy

Quaresma, Sergio Andre, da Costa, Rui Pereira, Ferreira Petean, Igor Bassi, Silva Sousa, Alice Correa, Mazzi Chaves, Jardel Francisco, Ginjeira, Antonio, & Sousa Neto, Manoel Damiao. (2022). Root Canal Treatment of Severely Calcified Teeth with Use of ConeBeam Computed Tomography as an Intraoperative Resource. IRANIAN ENDODONTIC JOURNAL (IEJ), 17(1), 39-47. SID. https://sid.ir/paper/975948/en

Vancouver: Copy

Quaresma Sergio Andre, da Costa Rui Pereira, Ferreira Petean Igor Bassi, Silva Sousa Alice Correa, Mazzi Chaves Jardel Francisco, Ginjeira Antonio, Sousa Neto Manoel Damiao. Root Canal Treatment of Severely Calcified Teeth with Use of ConeBeam Computed Tomography as an Intraoperative Resource. IRANIAN ENDODONTIC JOURNAL (IEJ)[Internet]. 2022;17(1):39-47. Available from: https://sid.ir/paper/975948/en

IEEE: Copy

Sergio Andre Quaresma, Rui Pereira da Costa, Igor Bassi Ferreira Petean, Alice Correa Silva Sousa, Jardel Francisco Mazzi Chaves, Antonio Ginjeira, and Manoel Damiao Sousa Neto, “Root Canal Treatment of Severely Calcified Teeth with Use of ConeBeam Computed Tomography as an Intraoperative Resource,” IRANIAN ENDODONTIC JOURNAL (IEJ), vol. 17, no. 1, pp. 39–47, 2022, [Online]. Available: https://sid.ir/paper/975948/en

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