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Case Reports in Dentistry
Volume 2017 (2017), Article ID 1265701, 6 pages
Case Report

Intraoperative Use of CBCT for Identification and Localization of Calcified Canals: A Clinical Technique

1Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA
2Department of Endodontics, School of Dentistry, University of Athens, Athens, Greece

Correspondence should be addressed to Maria-Elpida Miltiadous

Received 8 September 2017; Accepted 31 October 2017; Published 27 November 2017

Academic Editor: Jiiang H. Jeng

Copyright © 2017 Spyros Floratos and Maria-Elpida Miltiadous. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Localization of calcified canals has always been a challenge in the field of endodontics. The following report of three cases describes a technique for the identification and negotiation of obliterated canals by use of cone beam computed tomography (CBCT) intraoperatively. Canal orifices could not be found clinically in all three cases. Gutta-percha points were placed and compacted at the position where the canal orifices were estimated to be. Intraoperative CBCT was taken, and the distance between the gutta-percha points and the canal orifices was calculated at all planes of space in the first two cases. In the third case, only one canal orifice could be identified due to obliteration of the other canals.