> ...I'd like to use a table as a "pure" BTree ...

If you mean a general multi-way B-Tree, I don't think
there's any practical way in SQL.  If you can use a
binary tree, there are ways.  The most convenient is
Joe Celko's method, which he calls nested sets.  The
other design is usually called an adjacency list.
There was a discussion of this topic on this mailing
list about a year ago.

You might search the list archive and also try a
Google search on 'celko nested set' and 'adjacency
list' -- or even just 'sql tree'.

Regards

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