Negotiation of Calcified Canals
Antonis Chaniotis1, Hugo Sousa Dias2, Anastasia Chanioti3
1Private Practice, 17676 Kallithea, Greece.
Journal of Clinical Medicine
|May 11, 2024
Summary
Calcific metamorphosis (CM), or pulp canal obliteration (PCO), is hard tissue buildup in root canals. This review explores navigating these challenging calcified canals and introduces the buckling resistance activation test (BRAT) technique.
Area of Science:
- Endodontics
- Dental Anatomy
- Regenerative Dentistry
Background:
- Hard tissue formation along root canal walls is a natural aging process.
- Accumulation of hard tissue can occur due to tooth wear, operative procedures, vital pulp treatments, or regenerative endodontic procedures.
- Accelerated hard tissue deposition can lead to rapid narrowing or complete closure of the root canal space, termed calcific metamorphosis (CM), root canal calcification, or pulp canal obliteration (PCO).
Purpose of the Study:
- To review existing methods for navigating calcified root canals.
- To introduce the buckling resistance activation test (BRAT) technique for managing pulp canal obliteration.
Main Methods:
- Literature review of current techniques for negotiating calcified canals.
- Introduction and explanation of the buckling resistance activation test (BRAT) methodology.
Main Results:
- Conventional endodontic therapy in severely calcified canals poses significant challenges and risks.
- Specialized instruments and negotiation concepts are required for treating calcified canals.
- The BRAT technique is presented as a novel approach for managing these complex cases.
Conclusions:
- Pulp canal obliteration presents considerable difficulties for endodontic treatment.
- Effective navigation of calcified canals requires specific strategies and tools.
- The BRAT technique offers a promising new method for addressing the challenges of PCO.
