Calcifications detection and management in the obliterated endodontic space


Published: 11 January 2023
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Authors

  • A. Iandolo Department of Medicine and Surgery, University of Salerno, Salerno, Italy.
  • D. Abdellatif Department of Endodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt.
  • A. Amato Department of Medicine and Surgery, University of Salerno, Salerno, Italy.
  • M. Pisano Department of Medicine and Surgery, University of Salerno, Salerno, Italy.
  • F. Carboncini Department of Fixed Prosthodontics and Dental Materials, University of Siena, Siena, Italy.
  • D. I. K. Pontoriero Department of Fixed Prosthodontics and Dental Materials, University of Siena, Siena, Italy.
  • M. Caggiano Department of Medicine and Surgery, University of Salerno, Salerno, Italy.

Background Calcifications can partially or completely close the endodontic space, complicating or preventing orthograde endodontic treatment. 

Case reports The current case series aims to present clinical cases with different degrees of calcification. Calcifications and pulp stones are frequently found in the teeth pulp tissue. Their presence is substantial as they downgrade the total number of cells within the pulp and act as an obstruction to debridement and enlargement of the root canal system during endodontic treatment. It is fundamental to anticipate and recognize calcifications in order to organize a proper treatment plan.

Conclusions The use of modern technologies, in the case of root canal calcifications, ensure safe results. Operating microscope, ultrasonic tips, 3D CBCT, rotary files of the new generation, systems enhancing cleansing, and methods used to obtain a valid three-dimensional seal, are essential to avoid iatrogenic damage and achieve success.


Iandolo, A., Abdellatif, D., Amato, A., Pisano, M., Carboncini, F., Pontoriero, D. I. K., & Caggiano, M. (2023). Calcifications detection and management in the obliterated endodontic space. Journal of Osseointegration, 15(1), 48–52. https://doi.org/10.23805/JO.2023.15.01.07

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