Monday, April 27, 2015

Calcified root canal

What are the symptoms of a bad root canal? What to expect after root canal treatment? What causes the need for a root canal? What is the treatment for a tooth with calcified root? This issue occurs when a tooth experiences trauma and the root canal space, which normally contains the pulp, fills with hard calcified tissue.


As the American Association of Endodontists notes, dental trauma can result from an accident or sports injury , and treatment depends on the extent of the damage to the tooth.

A canal in a tooth is the space in the middle of a tooth root. This space normally contains pulp tissue which is mainly nerve and vascular tissue. Increased sports activity among children and high school aged kids has led to an increase in facial trauma. Tooth trauma can cause bleeding in the canals and this bleeding can become a focal point for calcification.


But the blockage isn’t total, which is how an infection can still develop. The canal can usually be negotiated with ultra-fine root canal instruments. By no means has it been easy to locate, negotiate, and fully instrument calcified root canals.


Furthermore, an increasingly aging population, retaining their teeth longer, has translated into a growing number of root canal treatments that will be needed on calcified canals. The older a person gets, the more the dentin seems to grow into the pulp chambers of the teeth, eventually blocking the canals completely.

This complicates root canal therapy because access to the infected root is difficult, sometimes even impossible. Calcification occurs in a coronal to apical direction. As such, calcification is worst in the coronal third of roots. As one progresses apically, canals become more easily negotiable.


The clinical implication is that it should become easier to negotiate canals with the apical progression of hand files. If the canal cannot be negotiated due to a calcification (this is actually the tooth trying to do its own root canal ) then that means the canal cannot be properly fille hence the prognosis of the root canaled tooth drops. A calcified root canal is one of the most difficult situations to treat in regards to root canal therapy. It sounds as if you have two of them in one tooth.


If one canal was previously treated (and the other two were left untreated), the chances of successfully treating the other two canals is poor. Invisalign and a calcified tooth? Two root canals in my upper left molar that are.


Do I Need a Root Canal After Years? The root canal in a calcified tooth is always more difficult to locate and treat. All teeth have the potential to become calcified. Pain increased along with some gum swelling the during last two days. Tooth is calcified thus its root canals are narrow and the pulp chamber is filled with pulp stones.


Locating narrow root canals entries can be done in an much easier way under high magnification. Many dentists feel that they are doing a patient a favor by attempting to save a sick tooth by placing a dental filling in the tooth rather than doing root canal treatment.

Visualization is enhanced with the use of loupes and microscopes. Figure 2) Dental loupes with headlight (Designs for Vision) and dental operating microscopes from (Figure 3) ZEISS and (Figure 4) Global Surgical. Chronic inflammation in the dental pulp due to the presence of large, old fillings can increase the difficulty of root canal therapy. NON-SURGICAL ROOT CANAL TREATMENT OF CALCIFIED CANAL. Calcified canals identified in the mesial root of tooth No.


Pulpal calcifications are calcified masses in dental pulps of healthy, disease and even unerupted teeth. They are not only difficult to locate, but their negotiation and the creation of a glide path takes considerably long time. These teeth provide an endodontic treatment challenge.

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