HIGH RISK IN ROOT CANAL NEGOCIATION IN ELDERLY PATIENTS: CLINICAL CASE SERIES

• Main Authors: Paula PERLEA, Cristina Coralia NISTOR, Mihaela Georgiana ILIESCU, Andrei ILIESCU, Liana AMINOV, Maria VATAMAN, Alexandru Andrei ILIESCU
• Format: Article
• Language: English
• Published: Academy of Romanian Scientists 2015-03-01
• Series: International Journal of Medical Dentistry
• Subjects: endodontic morphology; elderly patients; root canal treatment
• Online Access: http://www.ijmd.ro/articole/408_09%20High%20risk%20in%20root%20canal.pdf

Several clinical cases outline the difficulties of root canal treatment, due to the morphological changes of the endodontic space in elderly patients. The changes in the shape of pulp chamber and root canal make the treatment more difficult. It is also shown that the pulp chamber diminishes, due to reparative dentin. Calcification of the pulp space makes more difficult the access to the cavity. The obliterated canals lead to a challenging negotiation of the root canals. To avoid errors in the appreciation of the general health condition of the patient, the specialists should have an accurate preoperative radiograph or cone beam computing tomography (CBCT), use magnification (dental operative microscope), safe-ended burs, consider carefully any morphological changes, and apply the most proper techniques.