Magnification and ultrasonics as auxiliary resources in endodontic treatment of calcified teeth: clinical considerations and case report

Endodontic treatment aims at cleaning, shaping and three-dimensional filling of the root canals. However, the presence of alterations such as calcifications can cause difficulties, requiring the use of auxiliary resources to solve more complex cases. Thus, this work aims to report a clinical case of endodontic treatment on a tooth that presented calcifications precluding the location of some root canals, in which auxiliary technological resources were used, such as cone-beam computed tomography, microscopy and ultrasonic. In addition, some clinical considerations were made about the importance of these resources in endodontic therapy. In view of the present clinical case, the tomographic examination showed the presence of pulp calcification obliterating the entry of some of the root canals, requiring the use of ultrasonic aided by the microscope to remove it, which allowed the performance of the chemical-mechanical preparation and filling of the channels, obtaining a satisfactory result. Therefore, it can be concluded that in the face of more complex cases, such as those in which there is the presence of calcification and obliteration, making it difficult to access the root canal entry hole, the use of these technological resources allows endodontic treatment to be performed with greater predictability of success. (author)