Trattamento endodontico di un incisivo centrale calcificato

Abstract

Objectives To describe the endodontic treatment of a central maxillary incisor with two root canals, characterized by wide calcifications, showing that it can be faced and that finding a complex anatomy without any reference can be very difficult. Materials and methods Sometimes, a radiograph is not enough to lead to the solution of complex cases, because in case of extensive calcifications it can be insufficient to correctly construe the root canal anatomy, even after an accurate analysis. It is then mandatory to clinically verify the conditions of the tooth, if possible using a microscope that with its strong magnification allows to appreciate all the features that lead us to identify an anatomy that cannot be otherwise recognized. Together with the microscope, ultrasonic tips allow to work keeping a good visibility of the operative field. Once the endodontic pathways were found, the tooth was treated according to the crown-down technique and filled with warm gutta percha (continuous wave of condensation). Result and conclusions In complex cases characterized by extended calcifications, it is useful to pay attention to the diagnostic phase in order to formulate a valid treatment plan for the tooth, and it is mandatory to consider the individual case report using the most suitable instruments, such as operative microscope and ultrasonic tips. Indeed, these instruments can be indispensable in order to finish the endodontic treatment of calcified teeth.