Application of Guided Endodontics to locate the calcified root canal with periapical lesion: case report
DOI:
https://doi.org/10.33448/rsd-v10i16.20948Keywords:
Calcification; Cone Beam Computed Tomography; Endodontics.Abstract
A contemporary endodontic solution for the endodontic treatment of calcified root canals is characterized by guided endodontics. The aim of this study was to describe a guided endodontics treatment, which is a technique that facilitates access to root canals with pulp calcifications. Female patient, 40 years old, sought care at the Dental Clinic complaining of: “darkened tooth”. The radiographic examination revealed a highly calcified root canal from unit 21, with the presence of a periapical lesion. Thus, the technique using an endodontic guide was indicated, in order to securely locate the root canal. Once located, the canal was prepared and filled in a conventional manner, within the limitations presented by the excessive formation of dentin in such a unit. Although it is a technique recently introduced in the literature, guided endodontics guarantees a shorter work time, and has been shown to be a safe and precise technique, facilitating access and allowing for a safe, agile and predictable endodontic treatment.
References
Anderson, J., Wealleans, J., & Ray, J. (2018). Endodontic applications of 3D printing. International endodontic journal, 51(9), 1005-1018.
Andrade, S. R. D., Ruoff, A. B., Piccoli, T., Schmitt, M. D., Ferreira, A., & Xavier, A. C. A. (2017). O estudo de caso como método de pesquisa em enfermagem: uma revisão integrativa. Texto & Contexto-Enfermagem, 26.
Connert, T., Zehnder, M. S., Amato, M., Weiger, R., Kühl, S., & Krastl, G. (2018). Microguided Endodontics: a method to achieve minimally invasive access cavity preparation and root canal location in mandibular incisors using a novel computer‐guided technique. International endodontic journal, 51(2), 247-255.
Connert, T., Zehnder, M. S., Weiger, R., Kühl, S., & Krastl, G. (2017). Microguided endodontics: accuracy of a miniaturized technique for apically extended access cavity preparation in anterior teeth. Journal of endodontics, 43(5), 787-790.
de Cunha, F. M., de Souza, I. M., & Monnerat, J. (2009). Pulp canal obliteration subsequent to trauma: perforation management with MTA followed by canal localization and obturation. Braz J Dent Traumatol, 1(2), 64-68.
Endodontics, A. R. (2013). Endodontics colleagues for excellence. Chicago, Illinois: American Association of Endodontists, 1-8.
Fayad, M. I., Nair, M., Levin, M. D., Benavides, E., Rubinstein, R. A., Barghan, S., ... & Ruprecht, A. (2015). AAE and AAOMR joint position statement: use of cone beam computed tomography in endodontics 2015 update. Oral surgery, oral medicine, oral pathology and oral radiology, 120(4), 508-512.
Kiefner, P., Connert, T., ElAyouti, A., & Weiger, R. (2017). Treatment of calcified root canals in elderly people: a clinical study about the accessibility, the time needed and the outcome with a three‐year follow‐up. Gerodontology, 34(2), 164-170.
Krastl, G., Zehnder, M. S., Connert, T., Weiger, R., & Kühl, S. (2016). Guided endodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology. Dental traumatology, 32(3), 240-246.
Lara-Mendes, S. T., Camila de Freitas, M. B., Machado, V. C., & Santa-Rosa, C. C. (2018). A new approach for minimally invasive access to severely calcified anterior teeth using the guided endodontics technique. Journal of endodontics, 44(10), 1578-1582.
Ludlow, J. B., Timothy, R., Walker, C., Hunter, R., Benavides, E., Samuelson, D. B., & Scheske, M. J. (2015). Effective dose of dental CBCT—a meta analysis of published data and additional data for nine CBCT units. Dentomaxillofacial Radiology, 44(1), 20140197.
Mannan, G., Smallwood, E. R., & Gulabivala, K. (2001). Effect of access cavity location and design on degree and distribution of instrumented root canal surface in maxillary anterior teeth. International endodontic journal, 34(3), 176-183.
Matherne, R. P., Angelopoulos, C., Kulild, J. C., & Tira, D. (2008). Use of cone-beam computed tomography to identify root canal systems in vitro. Journal of endodontics, 34(1), 87-89.
McCabe, P. S. (2006). Avoiding perforations in endodontics. Journal of the Irish Dental Association, 52(3), 139-148.
Patel, S., Brown, J., Semper, M., Abella, F., & Mannocci, F. (2019). European Society of Endodontology position statement: Use of cone beam computed tomography in Endodontics: European Society of Endodontology (ESE) developed by. International endodontic journal, 52(12), 1675-1678.
Patel, S., Durack, C., Abella, F., Roig, M., Shemesh, H., Lambrechts, P., & Lemberg, K. (2014). European Society of Endodontology position statement: the use of CBCT in endodontics. International endodontic journal, 47(6), 502-504.
Schneider, D., Marquardt, P., Zwahlen, M., & Jung, R. E. (2009). A systematic review on the accuracy and the clinical outcome of computer‐guided template‐based implant dentistry. Clinical oral implants research, 20, 73-86.
Sônia, T. D. O., Camila de Freitas, M. B., Santa-Rosa, C. C., & Machado, V. C. (2018). Guided endodontic access in maxillary molars using cone-beam computed tomography and computer-aided design/computer-aided manufacturing system: a case report. Journal of endodontics, 44(5), 875-879.
Torres, A., Shaheen, E., Lambrechts, P., Politis, C., & Jacobs, R. (2019). Microguided Endodontics: a case report of a maxillary lateral incisor with pulp canal obliteration and apical periodontitis. International endodontic journal, 52(4), 540-549.
Van Der Meer, W. J., Vissink, A., Ng, Y. L., & Gulabivala, K. (2016). 3D Computer aided treatment planning in endodontics. Journal of dentistry, 45, 67-72.
Zehnder, M. S., Connert, T., Weiger, R., Krastl, G., & Kühl, S. (2016). Guided endodontics: accuracy of a novel method for guided access cavity preparation and root canal location. International endodontic journal, 49(10), 966-972.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Thaine Oliveira Lima; Aurélio de Oliveira Rocha; Lucas Menezes dos Anjos; Rafaela de Menezes dos Anjos Santos ; Nailson Silva Meneses Júnior ; Aparecida Emanoelly Sales de Melo; Max Dória Costa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
