The Visualisation and Management of Calcified Canals

This video, presented by Omar Ikram during ZEISS Dental Days 2024, focuses on the visualization and management of calcified root canals, a common challenge in endodontics. Calcification occurs as a protective response of the pulp to threats such as trauma, deep caries, cracks, and periodontal disease, often narrowing the canals and complicating treatment. Ikram demonstrates the importance of precise canal location using principles like the CEJ-based dentin map, supported by advanced tools like CBCT imaging and high-powered dental microscopes for magnification and illumination.

The presentation explores clinical techniques for negotiating calcified canals, emphasizing the use of specialised files, such as C-Pilot and C-Plus files, alongside methods like troughing, oxygen bubble detection, and rotary path files. Ikram highlights the ergonomic benefits and advanced features of ZEISS microscopes, including the Foldable Tube, Fluorescence Mode, and Varioskop 230, which enhance posture, visualization, and efficiency during procedures. Practical examples showcase the treatment of complex cases, such as calcified canals and apical abscesses, with detailed insights into file usage and canal preparation.

Ikram underscores the utility of digital tools like the EndoPrep app, which provides evidence-based resources for endodontic education and canal navigation. The presentation concludes with a call to integrate advanced technologies and techniques to improve outcomes in managing calcified canals.