Evidence map›Paper›PMID 40936764›Full record

SynthesisPeerJ2025

Management of calcified canals during root canal treatment. A systematic review of case reports.

Kunal Giri, Kulvinder Banga, Suraj Arora, Firas Elmsmari, Ajinkya M Pawar

Abstract readSystematic Review
In one paragraph

Synthesis in PeerJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kunal GiriDepartment of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, Maharashtra, India.
Kulvinder BangaDepartment of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, Maharashtra, India.
Suraj AroraDepartment of Restorative Dental Sciences, King Khalid University, Abha, Saudi Arabia.
Firas ElmsmariDepartment of Clinical Sciences, College of Dentistry, Ajman University of Science & Technology, Al Jerf, Ajman, United Arab Emirates.
Ajinkya M PawarDepartment of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, Maharashtra, India.ORCID 0000-0003-3985-5674

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Calcified canals pose substantial challenges in endodontic treatment because of narrowing of pulp chambers and canal lumens, reducing accessibility and biomechanical preparation. Nevertheless, with advanced techniques and well-devised strategies, successful management of calcified canals is achievable. This comprehensive analysis aims to rigorously assess extant literature concerning the clinical management of teeth affected by pulp canal obliteration that necessitates root canal therapy and to formulate a comprehensive, updated algorithm for clinical decision-making strategies. Materials and Methods: The study adhered to the PRISMA 2020 guidelines, the Cochrane Handbook (version 5.1.0), and Fourth Edition of the JBI Reviewer's Manual, and was registered with PROSPERO (CRD42023460967). Electronic data sources consulted included Central, Medline, Embase, PsycINFO, Scopus, ERIC, and ScienceDirect, using standardized keywords and open-text phrases. The JBI checklist was used to evaluate the quality of case reports and case series. Results: Thirty-four case reports involving 41 patients were selected. For calcified canals, non-surgical endodontic treatment utilizing chelating agents and flexible rotary instruments has proven highly effective. Furthermore, the employment of a dental operating microscope in conjunction with ultrasonic tips has been reported to improve clinical outcomes in several cases. Also, the use of cone beam computed tomography (CBCT) along with 3D print guides considerably increased success rates in managing these cases. Conclusions: This review highlights techniques like ultrasonic instruments, flexible nickel-titanium (Ni-Ti) files, and newer methods such as advanced imaging (CBCT) and 3D printed guides. Many case reports show that these approaches lead to higher success rates. Dentists should get familiar with these methods to improve patient outcomes and monitor for any complications. Future research should focus on creating standard protocols and exploring new tools and imaging to advance endodontics.

Indexed as

Dental Pulp CavityRoot Canal TherapyCone-Beam Computed TomographyHumansCalcificationChelating agentsCone-beam computed tomographyNon-vital teethRoot canal therapy

Identifiers

PMID40936764
PMCPMC12422281

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.