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Consideraciones para el diagnóstico y el abordaje de canales radiculares calificados. Una revisión narrativa.

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Title: Consideraciones para el diagnóstico y el abordaje de canales radiculares calificados. Una revisión narrativa.
Alternate Title: Considerations for the diagnosis and management of calcified root canals. A narrative review.
Authors: Terán, Maria Eugenia1 mariaeugeniateranrx@gmail.com, Hernández-Andara, Adalsa2 adalsa1@yahoo.com
Source: Revista Kiru. oct-dic2024, Vol. 21 Issue 4, p223-233. 11p.
Subjects: CONE beam computed tomography, DENTAL pulp cavities, DENTAL pulp, PERIAPICAL periodontitis, ELECTRONIC information resource searching
Abstract (English): Root canal calcification is characterized by the deposit of mineralized tissue along the canal walls, it is usually asymptomatic and is detected incidentally during a radiographic examination. Teeth that suffer from this process may develop apical periodontitis over time and consequently require endodontic treatment. The pulp chamber and root canal space may be partially or completely obliterated, increasing the risk of procedural errors during root canal preparation. With the advent of cone beam computed tomography (HCCT), teeth can be visualized three- dimensionally, and the superimposition of anatomical structures is eliminated. This review aims to present the considerations for the diagnosis and management of calcified root canals. An electronic search was carried out in PubMed, SciELO, Google Scholar and Science Direct, using the keywords cone-beam computed tomography/endodontics /pulp canal calcification/root canal/guided endodontics, finally 40 articles were selected. It is concluded that the use of TCHC allows the precise assessment of the root canal system, as well as characterizing the calcified root canal, being considered valuable information in the planning of endodontic treatment, minimizing the risk of technical errors. The possibility of using endodontic guides has made it possible to reduce clinical times and complications, with more predictable therapeutic results. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La calcificación del canal radicular se caracteriza por el depósito de tejido mineralizado a lo largo de las paredes del canal, suele ser asintomática y se detecta de forma incidental durante un examen radiográfico. Los dientes que padecen este proceso pueden desarrollar con el tiempo periodontitis apical y en consecuencia requerir un tratamiento endodóntico. La cámara pulpar y el espacio del canal radicular pueden obliterarse parcial o completamente, lo que aumenta el riesgo de errores de procedimiento durante la preparación del canal radicular. Con el advenimiento de la tomografía computarizada de haz cónico (TCHC) se pueden visualizar los dientes de forma tridimensional, y se elimina la superposición de estructuras anatómicas. En esta revisión se plantea exponer las consideraciones para el diagnóstico y el abordaje de los canales radiculares calcificados. Se realizó una búsqueda electrónica en PubMed, SciELO, Google Scholar y Science Direct, utilizando las palabras clave cone-beam computed tomography/endodontics /pulp canal calcification/root canal/guided endodontics, finalmente se seleccionaron 40 artículos. Se concluye que el uso de TCHC permite la valoración precisa del sistema de canales radiculares, así como caracterizar el canal radicular calcificado, considerándose información valiosa en la planificación del tratamiento endodóntico, minimizando el riesgo de errores técnicos. La posibilidad de emplear guías endodónticas ha posibilitado reducir tiempos clínicos, y complicaciones, con resultados terapéuticos más predecibles. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Root canal calcification is characterized by the deposit of mineralized tissue along the canal walls, it is usually asymptomatic and is detected incidentally during a radiographic examination. Teeth that suffer from this process may develop apical periodontitis over time and consequently require endodontic treatment. The pulp chamber and root canal space may be partially or completely obliterated, increasing the risk of procedural errors during root canal preparation. With the advent of cone beam computed tomography (HCCT), teeth can be visualized three- dimensionally, and the superimposition of anatomical structures is eliminated. This review aims to present the considerations for the diagnosis and management of calcified root canals. An electronic search was carried out in PubMed, SciELO, Google Scholar and Science Direct, using the keywords cone-beam computed tomography/endodontics /pulp canal calcification/root canal/guided endodontics, finally 40 articles were selected. It is concluded that the use of TCHC allows the precise assessment of the root canal system, as well as characterizing the calcified root canal, being considered valuable information in the planning of endodontic treatment, minimizing the risk of technical errors. The possibility of using endodontic guides has made it possible to reduce clinical times and complications, with more predictable therapeutic results. [ABSTRACT FROM AUTHOR]
ISSN:18127886
DOI:10.24265/kiru.2024.v21n4.06