Cone Beam Computerized Tomography (CBCT) in Managing Endodontic Complications Associated with a Pulp Canal Calcification (PCC) – A Case Report

Root canal treatment of calcified teeth presenting with endodontic complications is always a challenge to clinicians. The presentation, describes the use of CBCT in negotiating the root canal of a tooth presented with a peri-apical lesion. Case History: 26-year female presented with continuous pain in the upper left central incisor (tooth 21) which had PCC and a peri-apical lesion in the radiograph. Root canal treatment (RCT) was unsuccessfully attempted previously. As there was a risk of perforation and further compromise of tooth substance Guta Purcha (GP) was packed into the access cavity and sought the CBCT-guided negotiation of the canal. CBCT report which determined the relation to the root canal helped in negotiation with minimal preparation. The root canal was dressed for a brief period and the patient was free of symptoms thus the conventional treatment was carried out. Conclusion: CBCT determines and assists in the least invasive and easy negotiation of teeth with PCC with a predictable treatment outcome.