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[5] [12] However, when the tooth concerned will undergo endodontic treatment such as root canal treatment, presence of large pulp stones will be clinically significant. [12] [13] Large pulp stones in the pulp chamber might block the access to canal orifices and prevent the exploring dental instruments from passaging down the canal. [12]
In tooth gemination, the pulp chambers and root canals tend to be joined, unlike in tooth fusion where they tend to be separate. However, the degree of separation will depend on the stage of tooth development when the gemination occurred, so the pulp chamber and/or root canal may or may not be involved. [1]
Where, A = the lowest point of the pulp chamber roof, B = the highest point of the pulp chamber floor, and C = the longest root’s apex. Using this formula, a tooth is a taurodont if the landmark ratio is ≥ 0.2 and the distance from the highest point of the pulp chamber floor (B) to the cemento-enamel junction (D) is ≥ 2.5 mm. The full ...
To eliminate bacteria from the pulp chamber and root canals, the use of efficient antiseptics and disinfectants is necessary. [10] The soft tissues are either drilled out of the root canal(s) with engine driven rotary files, or with long needle-shaped hand instruments known as hand files (H files and K files).
Preventive efforts can limit pathology occurring within the pulp, which may render future endodontic procedures less challenging, with better outcomes. Challenges are associated with root canal treatment of teeth affected by DI due to pulp chamber and root canal obliteration, or narrowing of such spaces.
The pulp is the neurovascular bundle central to each tooth, permanent or primary.It is composed of a central pulp chamber, pulp horns, and radicular canals. The large mass of the pulp is contained within the pulp chamber, which is contained in and mimics the overall shape of the crown of the tooth. [2]
A root canal is the naturally occurring anatomic space within the root of a tooth.It consists of the pulp chamber (within the coronal part of the tooth), the main canal(s), and more intricate anatomical branches that may connect the root canals to each other or to the surface of the root.
No treatment is needed if it is asymptomatic. Treatment options will be extraction for symptomatic primary tooth. For symptomatic permanent tooth, root canal treatment is often challenging because the pulp chamber is filled with calcified material and the drop-off sensation of entering a pulp chamber will not occur. [44]