BMJ Case Reports 2018; doi:10.1136/bcr-2018-227318
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Endodontic management of maxillary central incisor with pulp canal obliteration

  1. Keerthi Edulapalli4
  1. 1Conservative Dentistry and Endodontics, Army Dental Corps, New Delhi, India
  2. 2Pedodontics and preventive dentistry, Army Dental Corps, New Delhi, India
  3. 3Conservative Dentistry and Endodontics, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India
  4. 4Prosthodontics and crown and bridge, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India
  1. Correspondence to Dr Abishek Lakinepally, drabi2k9746{at}
  • Accepted 1 October 2018
  • Published 1 November 2018


Traumatised teeth usually develop pulp canal obliterations and are characterised by radiographic loss of pulp space and yellowish discoloration of clinical crown.1 2 The American Association of Endodontists included teeth with radiographic indiscernible root canals requiring treatment in high difficulty criteria.3 Proper debridement, disinfection and obturation of root canal is difficult in such cases thus compromising root canal treatment. This article presents case of pulp canal obliteration of maxillary central incisor that was managed with usage of cone beam CT (CBCT), microscopes, periodic radiographs and small sized hand files which helped in achieving patency to the pulp chamber and root canal.

A 35 year old male patient reported with pain in upper front region of jaw since 3 months. The patient gave history of trauma 3 years ago when he met with an accident, thereafter he noticed gradual change in the transparency of the crown but there was no pain. The patient elicited history of trauma again …

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