Removal of calcifications from distal canals of mandibular molars by a non-instrumentational cleaning system: A micro-CT study.

Abstract

Pulpal calcifications can present problems in endodontic treatment. This micro-CT study examined the removal of calcifications by a multisonic cleaning system in uninstrumented mandibular molar distal canals. The teeth were accessed and distal canals located and their patency ensured. Micro-CT images were obtained, and 15 teeth with distal canal calcifications were selected. The volume of distal canals and calcifications were calculated from the micro-CT images before and after cleaning with the GentleWave system. Calcifications were observed in all thirds of the canals. Attached and free calcification were detected. Root canal volumes were slightly increased after GentleWave treatment, whereas the calcifications were completely or partially removed in all canals. Mean reduction percentage of calcification was 86.4±3.9%, in individual canals from 60% to 100%. Calcifications in the distal canals of mandibular molars could be partially or completely removed by the multisonic cleaning system without instrumentation.